Dyspnea after discharge from hospital due to pulmonary vein thrombosis after video-assisted left upper lobectomy: a case report
Abstract Background Thrombus formation at the pulmonary vein transection site is more common in left upper lobectomy than other lobectomies. We report a case of dyspnea and contrast-enhanced computed tomography (CT) findings of pulmonary vein thrombosis after left upper lobectomy. Case presentation...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-09-01
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| Series: | JA Clinical Reports |
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| Online Access: | https://doi.org/10.1186/s40981-022-00567-8 |
| _version_ | 1797998156236980224 |
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| author | Ruiji Kubo Takuo Hoshi Akae Shu Yuichiro Yamasaki |
| author_facet | Ruiji Kubo Takuo Hoshi Akae Shu Yuichiro Yamasaki |
| author_sort | Ruiji Kubo |
| collection | DOAJ |
| description | Abstract Background Thrombus formation at the pulmonary vein transection site is more common in left upper lobectomy than other lobectomies. We report a case of dyspnea and contrast-enhanced computed tomography (CT) findings of pulmonary vein thrombosis after left upper lobectomy. Case presentation A 68-year-old man with left lung cancer underwent video-assisted thoracoscopic left upper lobectomy under general anesthesia with thoracic epidural analgesia. He had no postoperative complications and was discharged home on the 5th day postoperatively. He visited the outpatient clinic at 8 days after surgery because of dyspnea and underwent contrast-enhanced CT, which revealed a thrombus at the resected edge of the left upper pulmonary vein. Anticoagulation therapy was started. Thereafter, the thrombus shrank, and the patient’s dyspnea improved. Conclusions Left upper lobe resection is particularly associated with pulmonary venous thrombosis, and dyspnea due to pulmonary venous thrombus may develop late after surgery. Postoperative management methods such as anticoagulation and postoperative pain management should be reexamined. |
| first_indexed | 2024-04-11T10:44:08Z |
| format | Article |
| id | doaj.art-2c8065f8edf54b3499227980cbf173f0 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-11T10:44:08Z |
| publishDate | 2022-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-2c8065f8edf54b3499227980cbf173f02022-12-22T04:29:06ZengSpringerOpenJA Clinical Reports2363-90242022-09-01811310.1186/s40981-022-00567-8Dyspnea after discharge from hospital due to pulmonary vein thrombosis after video-assisted left upper lobectomy: a case reportRuiji Kubo0Takuo Hoshi1Akae Shu2Yuichiro Yamasaki3Department of Anesthesiology and Critical Care Medicine, Ibaraki Prefectural Central HospitalDepartment of Anesthesiology and Critical Care Medicine, Ibaraki Clinical and Training Center, University of Tsukuba HospitalDepartment of Anesthesiology and Critical Care Medicine, Ibaraki Prefectural Central HospitalDepartment of Anesthesiology and Critical Care Medicine, Ibaraki Prefectural Central HospitalAbstract Background Thrombus formation at the pulmonary vein transection site is more common in left upper lobectomy than other lobectomies. We report a case of dyspnea and contrast-enhanced computed tomography (CT) findings of pulmonary vein thrombosis after left upper lobectomy. Case presentation A 68-year-old man with left lung cancer underwent video-assisted thoracoscopic left upper lobectomy under general anesthesia with thoracic epidural analgesia. He had no postoperative complications and was discharged home on the 5th day postoperatively. He visited the outpatient clinic at 8 days after surgery because of dyspnea and underwent contrast-enhanced CT, which revealed a thrombus at the resected edge of the left upper pulmonary vein. Anticoagulation therapy was started. Thereafter, the thrombus shrank, and the patient’s dyspnea improved. Conclusions Left upper lobe resection is particularly associated with pulmonary venous thrombosis, and dyspnea due to pulmonary venous thrombus may develop late after surgery. Postoperative management methods such as anticoagulation and postoperative pain management should be reexamined.https://doi.org/10.1186/s40981-022-00567-8Thoracic surgeryPostoperative analgesiaPostoperative complicationThromboembolism |
| spellingShingle | Ruiji Kubo Takuo Hoshi Akae Shu Yuichiro Yamasaki Dyspnea after discharge from hospital due to pulmonary vein thrombosis after video-assisted left upper lobectomy: a case report JA Clinical Reports Thoracic surgery Postoperative analgesia Postoperative complication Thromboembolism |
| title | Dyspnea after discharge from hospital due to pulmonary vein thrombosis after video-assisted left upper lobectomy: a case report |
| title_full | Dyspnea after discharge from hospital due to pulmonary vein thrombosis after video-assisted left upper lobectomy: a case report |
| title_fullStr | Dyspnea after discharge from hospital due to pulmonary vein thrombosis after video-assisted left upper lobectomy: a case report |
| title_full_unstemmed | Dyspnea after discharge from hospital due to pulmonary vein thrombosis after video-assisted left upper lobectomy: a case report |
| title_short | Dyspnea after discharge from hospital due to pulmonary vein thrombosis after video-assisted left upper lobectomy: a case report |
| title_sort | dyspnea after discharge from hospital due to pulmonary vein thrombosis after video assisted left upper lobectomy a case report |
| topic | Thoracic surgery Postoperative analgesia Postoperative complication Thromboembolism |
| url | https://doi.org/10.1186/s40981-022-00567-8 |
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