[Severe pulmonary embolism in a single lung].
A 68 years old white man complaining of hemoptysis in the last 2 months was admitted for evaluation. He was a heavy smoker and thorax radiography as week as CT Scan showed a 5 cm mass in the right pulmonary hilum. Endoscopy with biopsy demonstrated an adenocarcinoma of middle lobe. He was operated on and a tumor was found in the middle lobe with invasion of the other two lobes and pericardium. A right pneumectomy was performed. In the 10th postoperative day the patient sustained a pulmonary thromboembolism. A pulmonary scintigraphy showed hypoperfusion of large areas of left lung. He was medically treated and had a good response. The patient was discharged in the 22nd postoperative day. Pulmonary thromboembolism in bowen more severe in patients with single lung, nevertheless the recovery of this patients was good with early diagnosis and treatment.
Pêgo-Fernandes
P
P
Instituto do Coração do Hospital das Clínicas, FMUSP.
Jatene
F B
FB
de Oliveira
S F
SF
Soares Júnior
J
J
Stolf
N
N
Jatene
A D
AD
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy; D011183:Postoperative Complications; D011655:Pulmonary Embolism / Q000209:etiology* / Q000401:mortality; D011877:Radionuclide Imaging
Embolia pulmonar grave em pulmão único.