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Chest, Vol 99, 1515-1516, Copyright © 1991 by American College of Chest Physicians

ARTICLES

Pulmonary vein thrombosis following bilobectomy

H Hovaguimian, JF Morris, HL Gately and HS Floten
Surgical Service, VA Medical Center, Oregon 97207.

Acute thrombosis of the pulmonary vein following lobectomy or bilobectomy is a rare complication with no standard guideline for diagnosis or management. In this report, we present a case of right upper lobe vein thrombosis following a middle and lower lobectomy. Diagnosis was confirmed by ventilation-perfusion lung scan, pulmonary angiogram, and bronchoscopy. The patient was treated conservatively with no further complications and had a partial recovery of the circulation to the right upper lobe. A review of the literature is also presented along with the experimental data demonstrating the mechanisms of recovery.


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Copyright © 1991 by the American College of Chest Physicians.