Pulmonary vein thrombosis following bilobectomy.
Acute thrombosis of the pulmonary vein following lobectomy or bilobectomy is a rare complication with no standard guideline for diagnosis or management. In this report, we present a case of right upper lobe vein thrombosis following a middle and lower lobectomy. Diagnosis was confirmed by ventilation-perfusion lung scan, pulmonary angiogram, and bronchoscopy. The patient was treated conservatively with no further complications and had a partial recovery of the circulation to the right upper lobe. A review of the literature is also presented along with the experimental data demonstrating the mechanisms of recovery.
Hovaguimian
H
H
Surgical Service, VA Medical Center, Oregon 97207.
Morris
J F
JF
Gately
H L
HL
Floten
H S
HS
D000368:Aged; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D011013:Pneumonectomy / Q000009:adverse effects*; D011667:Pulmonary Veins / Q000000981:diagnostic imaging; D011859:Radiography; D013927:Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*