Ngo Dallis, Aftab Ghulam, Madhavan Arjun, Bukhari Amar
Division of Pulmonary, Critical Care and Sleep Medicine Saint Peter's University Hospital New Brunswick NJ USA.
Respirol Case Rep. 2021 Jul 21;9(8):e00803. doi: 10.1002/rcr2.803. eCollection 2021 Aug.
Pulmonary vein thrombosis (PVT) is a rare clinical finding that is potentially fatal and with an unknown incidence rate as known cases exist predominantly in case reports. We present the case of a 58-year-old female who reported sudden onset of chest pain, shortness of breath, and dyspnoea on exertion. A computed tomography (CT) pulmonary angiogram was negative for evidence of pulmonary embolism; however, it did demonstrate the evidence of thrombosis of the right lower lobe segmental pulmonary vein. She had no identifiable aetiologies for her PVT; therefore, she was diagnosed with idiopathic PVT and was treated successfully with apixaban. This case represents the 14th incidence of idiopathic PVT in the current body of medical literature and the first case of successful treatment with apixaban.
肺静脉血栓形成（PVT）是一种罕见的临床发现，具有潜在致命性，且发病率未知，因为已知病例主要存在于病例报告中。我们报告一例58岁女性病例，该患者自述突然出现胸痛、呼吸急促和劳力性呼吸困难。计算机断层扫描（CT）肺血管造影未发现肺栓塞证据；然而，它确实显示了右下叶节段性肺静脉血栓形成的证据。她的PVT没有可识别的病因；因此，她被诊断为特发性PVT，并使用阿哌沙班成功治疗。该病例是当前医学文献中第14例特发性PVT病例，也是首例使用阿哌沙班成功治疗的病例。
