title: Pulmonary venous infarction.
abstract: Pulmonary venous infarction, although rare, can develop in patients with the various pathologic conditions outlined. The triad of cough, dyspnea, and hemoptysis should raise clinical suspicion. The venous phase of pulmonary arteriography is the best way to document pulmonary venous obstruction, although MR imaging may also prove useful in the future. Treatment of patients with pulmonary venous infarction should be determined on the basis of the obstructing pathologic findings. Antibiotic therapy is important, as evidenced by the early experimental experience with this condition. It may be the only treatment available to patients with idiopathic fibrosing mediastinitis. Pulmonary resection, however, can be accomplished when a localized obstructing lesion is identified.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, Mass. 01805.
authors.forename: W A
authors.initials: WA
authors.lastname: Williamson
authors.forename: B S
authors.initials: BS
authors.lastname: Tronic
authors.forename: N
authors.initials: N
authors.lastname: Levitan
authors.forename: D C
authors.initials: DC
authors.lastname: Webb-Johnson
authors.forename: D M
authors.initials: DM
authors.lastname: Shahian
authors.forename: F H
authors.initials: FH
authors.lastname: Ellis
mesh_terms: D000818:Animals; D003937:Diagnosis, Differential; D006801:Humans; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism; D011668:Pulmonary Veno-Occlusive Disease; D011859:Radiography