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
Current Thoracic Surgery
2017;2(3):091-093. (27 December 2017)
1Department of Thoracic Surgery, Yedikule Chest Diseases and Surgery Education and Research Hospital, Istanbul, Turkey
2Department of Thoracic Surgery, Okan University, Istanbul, Turkey
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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
