Pulmonalvenenthrombose
Pictorial
review of the pulmonary vasculature: from arteries to veins. Pulmonary venous thrombus. Axial contrast-enhanced CT image in a patient with non-small cell lung cancer demonstrating a filling defect within the left superior pulmonary vein (white arrow). Note extensive lymphadenopathy within the left hila and mediastinum (*) from metastatic involvement
Sutureless
technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation. Preoperative CT of the lung. Multiple consolidation (red arrow) in the left lung and ipsilateral pleural effusion (black arrow)
Sutureless
technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation. a Preoperative CT: The left PV was completely occluded at the connfluence. b Postoperative CT: The upper and lower branches were relatively narrow but both patent
Dyspnea after
discharge from hospital due to pulmonary vein thrombosis after video-assisted left upper lobectomy: a case report. Contrast-enhanced chest computed tomography image. The circle indicates the pulmonary vein thrombosis
Pulmonary
vein thrombosis and cerebral infarction after video-assisted thoracic surgery of the left upper lobe: a case series. Contrast-enhanced computed tomography showing a thrombus in the left upper pulmonary vein stump in case 3 (arrowhead)
Pulmonary vein thrombosis is a rare but potentially serious condition with a number of underlying possible etiologies.
Clinical presentation
Often the signs and symptoms are non-specific and can range from acute (pulmonary infarction) to more insidious (progressive or recurrent pulmonary edema). Patients may have dyspnea, hemoptysis, chest pain, fever, and/or hypoxemia.
Pathology
Etiology
Causes include:
- intrapulmonary neoplasm: considered most frequent cause
- as a complication of lung transplantation or lobectomy
- as a complication of radiofrequency ablation
- fibrosing mediastinitis
- mitral stenosis with a left atrial clot
- hilar torsion
- hypercoagulable state
- idiopathic
Treatment and prognosis
Anticoagulation use is thought to be doubtful in terms of clinical outcome but may avoid clot development in the left atrium and possibly promote recanalization of the affected pulmonary vein .
See also
Siehe auch:
Assoziationen und Differentialdiagnosen zu Pulmonalvenenthrombose:
