Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Sep 13;13(6):1170-1173.
doi: 10.1016/j.radcr.2018.07.031. eCollection 2018 Dec.

Pulmonary vein thrombosis in patients with medical risk factors

Paul D Stein  1 , James E Denier  2 , Lawrence R Goodman  3 , Fadi Matta  1 , Mary J Hughes  1
Affiliations
Case Reports

Pulmonary vein thrombosis in patients with medical risk factors

Paul D Stein et al. Radiol Case Rep. .

Abstract

Pulmonary vein thrombosis in patients with medical illnesses has been rarely reported, and it is also rarely reported in those with no risk factors. We report 2 patients with pulmonary vein thrombosis, 1 with metastatic renal cell carcinoma and 1 with presumed pulmonary aspergillosis. Thrombi or tumors in a pulmonary vein are clinically important because they may cause systemic embolism or hemoptysis.

Keywords: Aspergillosis; Metastatic carcinoma; Pulmonary vein thrombosis.

PubMed Disclaimer

Figures

Fig 1
Fig. 1
A 73-year-old man with renal cell carcinoma, multiple pulmonary metastases. A. Contrast-enhanced CT pulmonary angiogram, axial view, shows enlarged right superior pulmonary vein with intraluminal filling defect with configuration of thrombus extending into lumen of left atrium (arrow). Bilateral pleural effusions were shown. Multiple masses of varying sizes were scattered throughout both lung fields shown on other images utilizing lung window technique. Multiple mediastinal metastases were also shown on other images. There was no evidence of pulmonary embolism. B. Coronal image corresponding to axial image shown in A. The filling defect (arrow) extends well into the lumen of the left atrium. C. Right inferior pulmonary vein with intraluminal filling defect (arrow) that had configuration of a thrombus as well as right superior pulmonary vein intraluminal filling defect extending into lumen of left atrium.
Fig 2
Fig. 2
Contrast-enhanced CT pulmonary angiogram, axial view of patient with presumed pulmonary aspergillosis. Pulmonary parenchymal lesions (arrowheads) and well-circumscribed filling defect within left inferior pulmonary vein (arrow) with configuration of pulmonary vein thrombus are shown.
See this image and copyright information in PMC

References

    1. Schulman LL, Anandarangam T, Leibowitz DW, Ditullio MR, McGregor CC, Galantowicz ME. Four-year prospective study of pulmonary venous thrombosis after lung transplantation. J Am Soc Echocardiogr. 2001;14(8):806–812. - PubMed
    1. Ohtaka K, Hida Y, Kaga K, Takahashi Y, Kawase H, Hayama S. Left upper lobectomy can be a risk factor for thrombosis in the pulmonary vein stump. J Cardiothorac Surg. 2014;9:5. - PMC - PubMed
    1. Schwalm S, Ward RP, Spencer KT. Transient ischemic attack in a patient with pulmonary vein thrombosis after left upper lobectomy for squamous cell lung cancer. J Am Soc Echocardiogr. 2004;17:487–488. - PubMed
    1. Nagaoka E, Yano M, Sugano T, Miyamoto T. Thrombus in the left superior pulmonary vein after left upper pulmonary lobectomy. J Thorac Cardiovasc Surg. 2008;135:709–710. - PubMed
    1. Asai K, Mochizuki T, Iizuka S, Momiki S, Suzuki K. Pulmonary vein stump thrombus: an early complication following upper division segmentectomy of the left lung. Gen Thorac Cardiovasc Surg. 2014;62:244–247. - PubMed

Publication types

LinkOut - more resources