title: Generalized Malperfusion Due to Systemic Embolization From a Large Thrombosed Pulmonary Vein Aneurysm.
abstract: We report the case of a 61-year-old patient who presented with generalized malperfusion due to systemic embolization from a large, partially thrombosed aneurysm of the left upper pulmonary vein. When the patient arrived at our center, large thrombus formations were detected in the left atrium and the abdominal aorta, as well as the renal, iliac, and femoral arteries. Renal, splenic, and mesenteric ischemia was diagnosed with computed tomography. The patient was in shock, acute kidney failure, and in high vasopressor need. The case highlights the risk of intraluminal thrombus formation in pulmonary vein aneurysms and underlines the need for systemic anticoagulation therapy and surgical therapy, if diagnosed in time.
authors.affiliation: Department of Cardiovascular Surgery, University Heart Center Freiburg, Bad Krozingen, Freiburg, Germany. Electronic address: maximilian.kreibich@uniklinik-freiburg.de.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Kreibich
authors.affiliation: Department of Cardiovascular Surgery, University Heart Center Freiburg, Bad Krozingen, Freiburg, Germany.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Rylski
authors.affiliation: Department of Cardiovascular Surgery, University Heart Center Freiburg, Bad Krozingen, Freiburg, Germany.
authors.forename: Julia
authors.initials: J
authors.lastname: Morlock
authors.affiliation: Department of Cardiovascular Surgery, University Heart Center Freiburg, Bad Krozingen, Freiburg, Germany.
authors.forename: Friedhelm
authors.initials: F
authors.lastname: Beyersdorf
authors.affiliation: Department of Cardiovascular Surgery, University Heart Center Freiburg, Bad Krozingen, Freiburg, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Czerny
mesh_terms: D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology; D000072226:Computed Tomography Angiography / Q000379:methods*; D016638:Critical Illness; D018450:Disease Progression; D017809:Fatal Outcome; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000473:pathology; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D011667:Pulmonary Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000473:pathology; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000503:physiopathology*