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A Case of Pulmonary Arterial Thrombosis in a Patient with Tuberculous-destroyed Lung and Pulmonary Hypertension  

Lee, Ji Eun (Department of Internal Medicine, Pochon CHA University College of Medicine)
Kim, Jung Hyun (Department of Internal Medicine, Pochon CHA University College of Medicine)
Kang, Min Kyoung (Department of Internal Medicine, Pochon CHA University College of Medicine)
Park, Hyun Jeong (Department of Internal Medicine, Pochon CHA University College of Medicine)
Lee, Ji Hyun (Department of Internal Medicine, Pochon CHA University College of Medicine)
Kim, Eun Kyung (Department of Internal Medicine, Pochon CHA University College of Medicine)
Lee, Young Kyung (Department of Radiology, Pochon CHA University College of Medicine)
Jeong, Hye Cheol (Department of Internal Medicine, Pochon CHA University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.64, no.1, 2008 , pp. 28-32 More about this Journal
Abstract
Pulmonary arterial thrombosis develops during hypercoagulable states, intra-arterial tumorous conditions, and congenital heart disease accompanied by pulmonary hypertension. Thrombosis in the main pulmonary arterial stump after pneumonectomy can also occur. Herein, we report a very rare case of pulmonary arterial thrombosis in a patient with pulmonary hypertension and a lung destroyed by tuberculosis. He presented with aggravated dyspnea without fever or purulent sputum. His chest computerized tomography scan showed left main pulmonary arterial thrombosis as a convex shape, with the ipsilateral distal arteries and arterioles showing parenchymal destruction. After excluding pulmonary thromboembolism and hypercoagulable disorders, we diagnosed pulmonary arterial thrombosis and treated him with an anticoagulant.
Keywords
Pulmonary arterial thrombosis; Tuberculous-destroyed lung; Pulmonary hypertension;
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1 Broberg CS, Ujita M, Prasad S, Li W, Rubens M, Bax BE, et al. Pulmonary arterial thrombosis in Eisenmenger syndrome is associated with biventricular dysfunction and decreased pulmonary flow velocity. J Am Coll Cardiol 2007;50:634-42   DOI   ScienceOn
2 Kim SY, Seo JB, Chae EJ, Do KH, Lee JS, Song JW, et al. Filling defect in a pulmonary arterial stump on CT after pneumonectomy: radiologic and clinical significance. AJR Am J Roentgenol 2005;185:985-8   DOI   ScienceOn
3 Ishizaka N, Kage N, Iida H, Mutoh S, Hirata Y, Komuro I, et al. Massive pulmonary artery thrombosis, pulmonary hypertension and untreated atrial septal defect. Cardiology 2002;97:53-4   DOI   ScienceOn
4 Engelke C, Schaefer-Prokop C, Schirg E, Freihorst J, Grubnic S, Prokop M. High resolution CT and CT angiography of peripheral pulmonary vascular disorders. Radiographics 2002;22:739-64   DOI
5 Johnson SR, Granton JT, Mehta S. Thrombotic arteriopathy and anticoagulation in pulmonary hypertension. Chest 2006;130:545-52   DOI   ScienceOn
6 Engelke C, Riedel M, Rummeny EJ, Marten K. Pulmonary haemangiosarcoma with main pulmonary artery thrombosis imitating subacute pulmonary embolism with infarction. Br J Radiol 2004;77:623-5   DOI   ScienceOn
7 Riedel M. Pulmonary embolic disease. In: Gibson GJ, editor. Respiratory medicine. 3rd ed. London: Saunders; 2003. p. 1711-58
8 Kwek BH, Wittram C. Postpneumonectomy pulmonary artery stump thrombosis: CT features and imaging follow-up. Radiology 2005;237:338-41   DOI   ScienceOn