title: Pulmonary vein stump thrombus: an early complication following upper division segmentectomy of the left lung.
abstract: We report a rare case of a pulmonary vein stump thrombus detected by a contrast-enhanced computed tomography for transient syncope 2 days after upper division segmentectomy of the left lung for metastatic pulmonary tumor. The thrombus disappeared without embolic events after anticoagulation with intravenous heparin followed by oral warfarin. Considering this case and previous reports, thoracic surgeons should be aware of pulmonary vein stump thrombus, a latent source of systemic embolization, after pulmonary resection, especially lobectomy or segmentectomy of the left upper lobe. This possible serious complication can occur at any time from the early postoperative period.
authors: Division of Thoracic Surgery, Hamamatsu Medical Center, 328 Tomitsuka-cho, Naka-ku, Hamamatsu, Shizuoka, 432-8580, Japan, asai@hmedc.or.jp.
authors: Katsuyuki
authors: K
authors: Asai
authors: Takahiro
authors: T
authors: Mochizuki
authors: Shuhei
authors: S
authors: Iizuka
authors: Shigeru
authors: S
authors: Momiki
authors: Kazuya
authors: K
authors: Suzuki
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D011667:Pulmonary Veins / Q000000981:diagnostic imaging / Q000187:drug effects / Q000473:pathology*; D014057:Tomography, X-Ray Computed / Q000379:methods; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin