Current Thoracic Surgery
2017 , Vol 2 , Issue 3
Can vasculitis be the cause of acute onset pulmonary venous thrombosis and gangrene after bilobectomy in a patient with bronchiectasis: a case report
1Department of Thoracic Surgery, Yedikule Chest Diseases and Surgery Education and Research Hospital, Istanbul, Turkey2Department of Thoracic Surgery, Okan University, Istanbul, Turkey DOI : 10.26663/cts.2017.0021 Viewed : 4901 - Downloaded : 1456 Pulmonary venous thrombosis is a rare condition, often seen after lung transplantation, malignancies, fungal infections and sclerosing mediastinitis. It is a life threatening complication which may develop after a thoracic surgery operation. Here we present a patient who underwent a right lower bilobectomy for bronchiectasis, and developed postoperative thrombosis of the right upper pulmonary vein which resulted in a lober gangrene. The patient was discharged uneventfully three weeks after a completion pneumonectomy. This case report aims to discuss the possible cause of this condition, which was not related to a surgical complication, and also to emphasize the importance of rapid a diagnosis and management. Keywords : pulmonary venous thrombosis, pulmonary gangrene, vasculitis, completion pneumonectomy