肺移植术后表现为中风的肺静脉血栓形成
Pulmonary vein thrombosis after lung transplantation presenting as stroke.
作者信息
Uhlmann Erik J, Dunitz Jordan M, Fiol Miguel E
机构信息
Department of Neurology, University of Minnesota Medical School, Minneapolis, Minnesota 55455, USA.
出版信息
J Heart Lung Transplant. 2009 Feb;28(2):209-10. doi: 10.1016/j.healun.2008.11.909.
Pulmonary vein thrombosis is a serious complication of lung transplantation. Thrombus formation at the pulmonary venous anastomosis site may result in allograft failure and ischemic stroke. The optimal therapy is not known; open embolectomy and non-surgical management with or without anti-coagulation have been tried with variable success. We report a case of pulmonary vein thrombosis in a 31-year-old woman, presenting with sudden hemiparesis 24 days after lung transplantation.
肺静脉血栓形成是肺移植的一种严重并发症。肺静脉吻合部位的血栓形成可能导致移植肺失败和缺血性中风。目前尚不清楚最佳治疗方法；已尝试进行开放性栓子切除术以及采用或不采用抗凝治疗的非手术管理，但效果各异。我们报告一例31岁女性肺移植术后24天出现突发偏瘫的肺静脉血栓形成病例。
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