Late pulmonary artery stump thrombosis with post embolic pulmonary hypertension after pneumonectomy.
Ten years after right pneumonectomy for primary lung cancer, a 51 year old man developed a pulmonary artery stump thrombosis which produced microemboli in the remaining lung and, in turn, led to chronic pulmonary hypertension. This case strongly suggests that prolonged postoperative thromboembolic prophylaxis should be considered in patients undergoing right pneumonectomy.
Thomas
P A
PA
Service de Chirurgie Thoracique, Hôpital Sainte Marguerite, 274 Bvd Ste Marguerite, 13274 Marseille Cédex 09, France. pathomas@ap-hm.fr
Doddoli
C
C
Barlési
F
F
Reynaud-Gaubert
M
M
Giudicelli
R
R
Fuentes
P
P
D006801:Humans; D006976:Hypertension, Pulmonary / Q000000981:diagnostic imaging / Q000209:etiology*; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011651:Pulmonary Artery; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology*; D036542:Tomography, Spiral Computed