Early pulmonary vein thrombosis following single lung transplantation is a highly fatal complication, with both reported cases resulting in death despite aggressive surgical intervention.
Portends high mortality despite intervention in early post-transplant pulmonary vein thrombosis; extends sparse case evidence but leaves prevention and management open.
Pulmonary vein thrombosis following lung transplantation is an infrequently reported and often fatal vascular complication. Two cases of early pulmonary vein thrombosis following single lung transplantation are described. Both patients underwent surgical thrombectomy and anastomotic reconstruction following institution of cardiopulmonary bypass, but died of multiorgan failure within 5 days of diagnosis. The efficacy of transesophageal echocardiography as a diagnostic modality, as well as medical and surgical management strategies for thrombectomy, are discussed.
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Shah et al. (2010) studied this question.
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