A Case of Pulmonary Arterial Thrombosis in a Patient with Tuberculous-destroyed Lung and Pulmonary Hypertension. |
Ji Eun Lee, Jung Hyun Kim, Min Kyoung Kang, Hyun Jeong Park, Ji Hyun Lee, Eun Kyung Kim, Young Kyung Lee, Hye Cheol Jeong |
1Department of Internal Medicine, Pochon CHA University College of Medicine, Seongnam, Korea. jhcmd@hanmail.net 2Department of Radiology, Pochon CHA University College of Medicine, Seongnam, Korea. |
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Abstract |
Pulmonary arterial thrombosis develops during hypercoagulable states, intra-arterial tumorous conditions, and congenital heart disease accompanied by pulmonary hypertension. Thrombosis in the main pulmonary arterial stump after pneumonectomy can also occur. Herein, we report a very rare case of pulmonary arterial thrombosis in a patient with pulmonary hypertension and a lung destroyed by tuberculosis. He presented with aggravated dyspnea without fever or purulent sputum. His chest computerized tomography scan showed left main pulmonary arterial thrombosis as a convex shape, with the ipsilateral distal arteries and arterioles showing parenchymal destruction. After excluding pulmonary thromboembolism and hypercoagulable disorders, we diagnosed pulmonary arterial thrombosis and treated him with an anticoagulant. |
Key Words:
Pulmonary arterial thrombosis, Tuberculous-destroyed lung, Pulmonary hypertension |
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