Multimodality imaging successfully identified redundant donor tissue mimicking a pulmonary vein thrombus in a 26-year-old lung transplant recipient, allowing conservative management at 6 months.
Case Report (n=1)
Multimodality imaging can successfully differentiate true pulmonary vein thrombus from surgical artifacts such as redundant donor tissue in post-lung transplant patients, avoiding unnecessary interventions.
ABSTRACT We present the case of a 26‐year‐old woman who underwent bilateral lung transplantation. In the postoperative period, she developed impaired oxygenation and pulmonary opacities predominantly on the left side. Transesophageal echocardiography revealed a finding initially interpreted as thrombus in the left pulmonary vein. However, multimodality imaging established that the appearance was due to redundant donor pulmonary vein wall tissue folded at the anastomosis by the surgical technique, without significant obstruction. A multidisciplinary team chose conservative management, with good clinical and imaging outcomes at 6‐month follow‐up.
Rangel‐Riveraら（Sun）は、肺移植後の症例報告を行いました（n=1）。マルチモダリティ画像診断と保守的管理が評価されました。マルチモダリティ画像診断により、26歳の肺移植受電者において肺静脈血栓を模倣する冗長なドナー組織が特定され、6か月で保守的管理が可能となりました。