Pulmonary vein thrombosis
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Pulmonary vein thrombosis is a rare but potentially serious condition with a number of underlying possible aetiologies.
Clinical presentation
Often the signs and symptoms are non-specific and can range from acute (pulmonary infarction) to more insidious (progressive or recurrent pulmonary oedema). Patients may have dyspnoea, haemoptysis, chest pain, fever, and/or hypoxaemia.
Pathology
Aetiology
Causes include:
- intrapulmonary neoplasm: considered most frequent cause 1
- as a complication of lung transplantation or lobectomy 6
- as a complication of radiofrequency ablation
- fibrosing mediastinitis
- mitral stenosis with a left atrial clot
- hilar torsion 3
- hypercoagulable state
- idiopathic
Treatment and prognosis
Anticoagulation use is thought to be doubtful in terms of clinical outcome but may avoid clot development in the left atrium and possibly promote recanalisation of the affected pulmonary vein 3.
See also
-<p><strong>Pulmonary vein thrombosis</strong> is a rare but potentially serious condition with a number of underlying possible aetiologies.</p><h4>Clinical presentation</h4><p>Often the signs and symptoms are non-specific and can range from acute (<a href="/articles/pulmonary-infarction-1">pulmonary infarction</a>) to more insidious (progressive or recurrent <a href="/articles/pulmonary-oedema">pulmonary oedema</a>). Patients may have dyspnoea, haemoptysis, chest pain, fever, and/or hypoxaemia.</p><h4>Pathology</h4><h5>Aetiology</h5><p>Causes include:</p><ul>- +<p><strong>Pulmonary vein thrombosis</strong> is a rare but potentially serious condition with a number of underlying possible aetiologies.</p><h4>Clinical presentation</h4><p>Often the signs and symptoms are non-specific and can range from acute (<a href="/articles/pulmonary-infarction-1">pulmonary infarction</a>) to more insidious (progressive or recurrent <a href="/articles/pulmonary-oedema">pulmonary oedema</a>). Patients may have dyspnoea, haemoptysis, <a title="Chest pain" href="/articles/chest-pain">chest pain</a>, <a title="Fever" href="/articles/pyrexia">fever</a>, and/or hypoxaemia.</p><h4>Pathology</h4><h5>Aetiology</h5><p>Causes include:</p><ul>
-<li>as a complication of <a href="/articles/lung-transplant-complications">lung transplantation</a> or <a title="lobectomy" href="/articles/lobectomy">lobectomy</a> <sup>6</sup>- +<li>as a complication of <a href="/articles/lung-transplant-complications">lung transplantation</a> or <a href="/articles/lobectomy">lobectomy</a> <sup>6</sup>
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