Refractory Pulmonary Edema Caused by Late Pulmonary Vein Thrombosis After Lung Transplantation: A Rare Adverse Event Eve J. Denton, MBBS, MPH, Adam Rischin,

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Presentation transcript:

Refractory Pulmonary Edema Caused by Late Pulmonary Vein Thrombosis After Lung Transplantation: A Rare Adverse Event Eve J. Denton, MBBS, MPH, Adam Rischin, MBBS, David McGiffin, MBBS, FRACS, Trevor J. Williams, MBBS, FRACP, Miranda A. Paraskeva, MBBS, FRACP, Glen P. Westall, MBBS, FRACP, Greg Snell, MBBS, FRACP The Annals of Thoracic Surgery Volume 102, Issue 3, Pages e197-e199 (September 2016) DOI: 10.1016/j.athoracsur.2016.01.090 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Roentgenogram of the chest, which is relatively clear on day 6 after bilateral lung transplantation. (B) Roentgenogram of the chest on day 27, showing worsening of bilateral infiltrates despite extensive treatment. (C) Computerized tomographic (CT) image revealing bilateral ground-glass opacities. (D) CT venogram showing right superior pulmonary vein thrombus. The Annals of Thoracic Surgery 2016 102, e197-e199DOI: (10.1016/j.athoracsur.2016.01.090) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A, B) Transesophageal echocardiogram showing pulmonary vein thrombus in the left lower pulmonary vein on two-dimensional images. (C) Increased left pulmonary vein Doppler flow velocities of 2.2 meters per second. (D) Flow around the pulmonary vein thrombus on color flow Doppler. The Annals of Thoracic Surgery 2016 102, e197-e199DOI: (10.1016/j.athoracsur.2016.01.090) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions