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May 20, 2026American Journal of Respiratory and Critical Care Medicine

B64-26 Pulmonary Artery Stump Thrombosis: A Case for Conservative Management

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Authors

MRM N RajaASA Suguness

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Overview

Case report demonstrates safe conservative management of pulmonary artery stump thrombosis in a low-risk patient, indicating non-treatment benefits.

Key Points

  • Investigate the management approaches for pulmonary artery stump thrombosis (PAST) post-lobectomy.
  • Presented a case of a 62-year-old woman with pulmonary artery stump thrombosis after right lower lobectomy.
  • Managed with initial anticoagulation followed by cessation due to lack of symptoms and hemodynamic stability.
  • Monitored treatment outcomes through imaging studies over 1.5 years.
  • Initial presentation showed acute embolus without right heart strain, with hemodynamic stability throughout.
  • Anticoagulation was safely discontinued after two weeks due to favorable patient condition and imaging findings.
  • Long-term follow-up demonstrated reduced thrombus burden without new emboli.

Cite This Study

Raja et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4f92f03e14405aa9af26https://doi.org/10.1093/ajrccm/aamag162.5664
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