title: Pulmonary vein injury through repetitive clip friction: an unusual cause of hemothorax.
abstract: Massive hemothorax developed in a 58-year-old man 12 hours after a left pneumonectomy. The source of bleeding was a tear in the pulmonary vein stump caused by a titanium clip that had been used during mediastinal lymphadenectomy. Postoperatively, the clip progressively sawed through the vascular wall of the pulmonary vein due to friction during the cardiac cycle.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Georg-August-University, Göttingen, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Sîrbu
authors.forename: B
authors.initials: B
authors.lastname: Herse
authors.forename: T
authors.initials: T
authors.lastname: Busch
authors.forename: H
authors.initials: H
authors.lastname: Dalichau
mesh_terms: D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects / Q000295:instrumentation; D008297:Male; D008482:Mediastinum; D008875:Middle Aged; D011667:Pulmonary Veins / Q000293:injuries*; D013525:Surgical Instruments / Q000009:adverse effects*