Idiopathic Pulmonary Vein Thrombus Extending into Left Atrium: A Case Report and Review of the Literature

Author:

Rana Muhammad Asim1ORCID,Tilbury Nicholas1ORCID,Kumar Yashwant1ORCID,Ahmad Habib1,Naser Kamal1,Mady Ahmed F.2,Patel Awani1

Affiliation:

1. King’s Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust, Nottinghamshire NG17 4JL, UK

2. Department of Intensive Care Medicine, King Saud Medical City, Riyadh 11373, Saudi Arabia

Abstract

Pulmonary vein thrombosis (PVT) is rather an uncommon condition which presents nonspecifically and is usually associated with lung malignancy and major pulmonary surgery. Rarely could no cause be found. It causes increased pulmonary venous pressure leading to pulmonary arterial vasoconstriction and subsequent pulmonary arterial hypertension and subsequently can cause cor pulmonale if not addressed in timely fashion. Other associated complications like peripheral embolization and stroke have also been reported. This case emphasizes the importance of maintaining high index of clinical suspicion especially when CT pulmonary angiogram is negative for pulmonary embolism.

Publisher

Hindawi Limited

Subject

General Medicine

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