Pulmonary Artery Stump Thrombosis: To Treat or Not to Treat? The Question Is Still Open. Description of a Case and Review of the Literature
Pulmonary artery stump thrombosis (PAST) represents a possible complication after lung surgery. We report the case of a 59-year-old man who presented with dyspnoea about 4 years after right pneumonectomy due to squamous cell lung cancer. A CT-scan showed the presence of pulmonary artery stump thromb...
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doaj-7ddc4aba58554bf48e56a48580ed8ecb2021-10-04T04:58:43ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-10-01810.3389/fcvm.2021.714826714826Pulmonary Artery Stump Thrombosis: To Treat or Not to Treat? The Question Is Still Open. Description of a Case and Review of the LiteratureAntonio Mirijello0Mariateresa Santoliquido1Mariateresa Santoliquido2Pamela Piscitelli3Cristina Borelli4Gaetano Serviddio5Anna Simeone6Elvira Grandone7Salvatore De Cosmo8Internal Medicine Unit, Department of Medical Sciences, Fondazione IRCCS Casa Sollievo Della Sofferenza, San Giovanni Rotondo, ItalyInternal Medicine Unit, Department of Medical Sciences, Fondazione IRCCS Casa Sollievo Della Sofferenza, San Giovanni Rotondo, ItalyGeriatrics Residency School, Department of Medical and Surgical Sciences, University of Foggia, Foggia, ItalyInternal Medicine Unit, Department of Medical Sciences, Fondazione IRCCS Casa Sollievo Della Sofferenza, San Giovanni Rotondo, ItalyRadiology Unit, Fondazione IRCCS Casa Sollievo Della Sofferenza, San Giovanni Rotondo, ItalyGeriatrics Residency School, Department of Medical and Surgical Sciences, University of Foggia, Foggia, ItalyRadiology Unit, Fondazione IRCCS Casa Sollievo Della Sofferenza, San Giovanni Rotondo, ItalyThrombosis and Haemostasis Research Unit, Fondazione IRCCS Casa Sollievo Della Sofferenza, San Giovanni Rotondo, ItalyInternal Medicine Unit, Department of Medical Sciences, Fondazione IRCCS Casa Sollievo Della Sofferenza, San Giovanni Rotondo, ItalyPulmonary artery stump thrombosis (PAST) represents a possible complication after lung surgery. We report the case of a 59-year-old man who presented with dyspnoea about 4 years after right pneumonectomy due to squamous cell lung cancer. A CT-scan showed the presence of pulmonary artery stump thrombosis. Although there was no evidence of pulmonary embolism, given the clinical features and radiological shape of the thrombus, anticoagulation treatment with low-molecular-weight heparin was started with improvement of symptoms. The patient was discharged on anticoagulant treatment and a pulmonary CT-scan performed 4 months later showed an almost complete resolution of the PAST. Pathophysiological mechanisms of PAST are still unknown, although several hypotheses have been proposed. However, the decision to treat PAST with anticoagulants is still controversial. A review of literature will be provided in order to discuss risk factors, possible etiologies and to highlight clinical and radiological characteristics that could suggest to treat this condition, in particular when there is an increased risk of complications.https://www.frontiersin.org/articles/10.3389/fcvm.2021.714826/fullanticoagulationpneumonectomypulmonary embolismthrombosispulmonary artery stump |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Antonio Mirijello Mariateresa Santoliquido Mariateresa Santoliquido Pamela Piscitelli Cristina Borelli Gaetano Serviddio Anna Simeone Elvira Grandone Salvatore De Cosmo |
spellingShingle |
Antonio Mirijello Mariateresa Santoliquido Mariateresa Santoliquido Pamela Piscitelli Cristina Borelli Gaetano Serviddio Anna Simeone Elvira Grandone Salvatore De Cosmo Pulmonary Artery Stump Thrombosis: To Treat or Not to Treat? The Question Is Still Open. Description of a Case and Review of the Literature Frontiers in Cardiovascular Medicine anticoagulation pneumonectomy pulmonary embolism thrombosis pulmonary artery stump |
author_facet |
Antonio Mirijello Mariateresa Santoliquido Mariateresa Santoliquido Pamela Piscitelli Cristina Borelli Gaetano Serviddio Anna Simeone Elvira Grandone Salvatore De Cosmo |
author_sort |
Antonio Mirijello |
title |
Pulmonary Artery Stump Thrombosis: To Treat or Not to Treat? The Question Is Still Open. Description of a Case and Review of the Literature |
title_short |
Pulmonary Artery Stump Thrombosis: To Treat or Not to Treat? The Question Is Still Open. Description of a Case and Review of the Literature |
title_full |
Pulmonary Artery Stump Thrombosis: To Treat or Not to Treat? The Question Is Still Open. Description of a Case and Review of the Literature |
title_fullStr |
Pulmonary Artery Stump Thrombosis: To Treat or Not to Treat? The Question Is Still Open. Description of a Case and Review of the Literature |
title_full_unstemmed |
Pulmonary Artery Stump Thrombosis: To Treat or Not to Treat? The Question Is Still Open. Description of a Case and Review of the Literature |
title_sort |
pulmonary artery stump thrombosis: to treat or not to treat? the question is still open. description of a case and review of the literature |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Cardiovascular Medicine |
issn |
2297-055X |
publishDate |
2021-10-01 |
description |
Pulmonary artery stump thrombosis (PAST) represents a possible complication after lung surgery. We report the case of a 59-year-old man who presented with dyspnoea about 4 years after right pneumonectomy due to squamous cell lung cancer. A CT-scan showed the presence of pulmonary artery stump thrombosis. Although there was no evidence of pulmonary embolism, given the clinical features and radiological shape of the thrombus, anticoagulation treatment with low-molecular-weight heparin was started with improvement of symptoms. The patient was discharged on anticoagulant treatment and a pulmonary CT-scan performed 4 months later showed an almost complete resolution of the PAST. Pathophysiological mechanisms of PAST are still unknown, although several hypotheses have been proposed. However, the decision to treat PAST with anticoagulants is still controversial. A review of literature will be provided in order to discuss risk factors, possible etiologies and to highlight clinical and radiological characteristics that could suggest to treat this condition, in particular when there is an increased risk of complications. |
topic |
anticoagulation pneumonectomy pulmonary embolism thrombosis pulmonary artery stump |
url |
https://www.frontiersin.org/articles/10.3389/fcvm.2021.714826/full |
work_keys_str_mv |
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