Plowman Keegan, Ruthman Carl
Graduate Medical Education Internal Medicine Residency, NCH Healthcare System, 311 9th Street North, Naples, FL, 34102, USA.
Division of Pulmonary Critical Care Medicine, NCH Healthcare System, 311 9th Street North, Naples, FL, 34102, USA.
Respir Med Case Rep. 2022 Aug 29;39:101732. doi: 10.1016/j.rmcr.2022.101732. eCollection 2022.
Pulmonary vein thromboses (PVT) is a complication of lung malignancy and can be complicated by arterial embolic phenomenon. Patient is a 69-year-old female with a history of coronary artery disease and recent pneumonia seen on chest x-ray who presented with progressive headache, left arm numbness and abdominal pain. She was found to have numerous bilateral strokes, bilateral renal infarction and splenic infarction. CT Chest showed a right upper lobe mass compressing the pulmonary veins with filling defects concerning for thrombus. Diagnosis of PVT is made with CT angiogram, echocardiogram and MRI. Treatment consists of anticoagulation and treatment of underlying factors.
肺静脉血栓形成（PVT）是肺恶性肿瘤的一种并发症，可并发动脉栓塞现象。患者为一名69岁女性，有冠状动脉疾病史，胸部X线显示近期患肺炎，出现进行性头痛、左臂麻木和腹痛。她被发现有多处双侧中风、双侧肾梗死和脾梗死。胸部CT显示右上叶肿块压迫肺静脉，有充盈缺损，怀疑为血栓。PVT的诊断通过CT血管造影、超声心动图和MRI做出。治疗包括抗凝和对潜在因素的治疗。
