An Unusual Finding in a Patient Presenting for Pulmonary Thromboendarterectomy: Pulmonary Venous Thrombosis.

Autor: Siegrist KK; Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN. Electronic address: kara.k.siegrist@vumc.org., Woolard AA; Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN., Hillenbrand KD; Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN., Shah AS; Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, TN., Eagle SS; Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN.
Jazyk: angličtina
Zdroj: Journal of cardiothoracic and vascular anesthesia [J Cardiothorac Vasc Anesth] 2022 Jul; Vol. 36 (7), pp. 2046-2050. Date of Electronic Publication: 2021 Jun 22.
DOI: 10.1053/j.jvca.2021.06.019
Abstrakt: Pulmonary venous thrombosis (PVT) is a rare but potentially devastating disease state with a largely unknown incidence. The most common etiologies of PVT are secondary to complications of lung surgery, malignancy, catheter ablation for atrial fibrillation, and idiopathic causes. Diagnosis can be challenging because presenting symptoms often are vague and nonspecific, or even asymptomatic, and traditional diagnostic modalities, such as chest radiography and arterial phase computed tomography scans, are poor techniques for diagnosis. The authors present a case of a patient presenting for pulmonary thromboendarterectomy for a presumed diagnosis of chronic thromboembolic pulmonary hypertension who was found incidentally to have a PVT, on intraoperative transesophageal echocardiography. Due to significant thrombus burden, the new finding of PVT, and known association of PVT and malignancy, a biopsy of mediastinal lymph nodes was obtained, which revealed metastatic cervical carcinoma. The pulmonary endarterectomy procedure was aborted.
Competing Interests: Conflict of Interest None.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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