Chest
Selected ReportsCase ReportsPulmonary Vein Thrombosis Following Bilobectomy
Section snippets
Case Report
A 72-year-old man underwent an uneventful right lower and middle lobectomy at the Portland (OR) Veterans Affairs Medical Center, for a T2, NO, squamous cell carcinoma of the right lower lobe of the lung. The resected hilar nodes were found to have a previously undiagnosed chronic lymphocytic leukemia. The patient had undergone a redo coronary bypass graft one month prior to his lobectomy for symptomatic coronary artery disease. He also had a history of hypertension and an elevated absolute
Discussion
This is the second case, to our knowledge, being reported with the diagnosis of pulmonary vein thrombosis following a pulmonary resection. Interestingly, the case descriptions are almost identical. They both followed a right lower and middle lobectomy and both developed identical radiologic changes two days postoperatively.3
The two possible mechanisms of occluding the remaining superior pulmonary vein in our patient would have been a torsion-angulation or thrombosis. The normally aligned right
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Cited by (27)
Pulmonary vein stenosis mimicking interstitial lung disease
2021, PulmonologyThe appearance of a small thrombus in the pulmonary vein indicates the existence of a smaller pulmonary vein
2015, IJC Heart and VasculatureCitation Excerpt :Pulmonary vein thrombosis is a potentially life threatening condition that can lead to thromboembolic stroke, but the occurrence of this type of thrombosis is believed to be rare and often goes undiagnosed and untreated. The primary causes of pulmonary vein thrombi formation are thought to be lung surgery [2], lung transplantation [3,4], and increased expansion of lung cancer [5]. The signs and symptoms of this condition are generally atypical, thus resulting in its underdiagnosis.
Thrombosis in the pulmonary vein stump after left upper lobectomy as a possible cause of cerebral infarction
2013, Annals of Thoracic SurgeryPulmonary vein thrombosis associated with a large hiatal hernia
2013, Journal of Emergency MedicineCitation Excerpt :No other epidemiologic or surgical factors were identified as risk factors for PVT after lung transplantation (7). PVT has occurred after other thoracic interventions, including bilobectomy and radiofrequency ablation (9,11). Several cases of PVT associated with lung cancer have been reported.