Pulmonary vein thrombosis following bilobectomy

Chest. 1991 Jun;99(6):1515-6. doi: 10.1378/chest.99.6.1515.


Acute thrombosis of the pulmonary vein following lobectomy or bilobectomy is a rare complication with no standard guideline for diagnosis or management. In this report, we present a case of right upper lobe vein thrombosis following a middle and lower lobectomy. Diagnosis was confirmed by ventilation-perfusion lung scan, pulmonary angiogram, and bronchoscopy. The patient was treated conservatively with no further complications and had a partial recovery of the circulation to the right upper lobe. A review of the literature is also presented along with the experimental data demonstrating the mechanisms of recovery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Lung / diagnostic imaging
  • Lung Neoplasms / surgery
  • Male
  • Pneumonectomy / adverse effects*
  • Pulmonary Veins* / diagnostic imaging
  • Radiography
  • Thrombosis / diagnosis
  • Thrombosis / diagnostic imaging
  • Thrombosis / etiology*