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
Kemal Karapınar1,Özkan Saydam1,Muzaffer Metin2,Atilla Gürses1,Celal Buğra Sezen1
1Department of Thoracic Surgery, Yedikule Chest Diseases and Surgery Education and Research Hospital, Istanbul, Turkey
2Department of Thoracic Surgery, Okan University, Istanbul, Turkey
DOI : 10.26663/cts.2017.0021 Viewed : 5222 - Downloaded : 1584 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