Related Experiment Video
Updated: Jul 3, 2025
06:48
Three-Dimensional Echocardiographic Method for the Visualization and Assessment of Specific Parameters of the Pulmonary Veins
Published on: October 28, 2020
2.8K
Idiopathic Bilateral Pulmonary Vein Thrombosis
Adeel Nasrullah1, Muhammad Ibraiz Bilal2, Khalid Malik1
1Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, USA.
European Journal of Case Reports in Internal Medicine
|February 14, 2024
Summary
Pulmonary vein thrombosis (PVT) can cause chest pain, even without cancer or clotting disorders. Early diagnosis via CT angiogram and treatment with anticoagulation are key for managing this rare condition.
Area of Science:
- Cardiology
- Radiology
- Hematology
Background:
- Pulmonary vein thrombosis (PVT) is a rare condition.
- It can present with non-specific symptoms like chest pain.
- Patients with a history of deep vein thrombosis are at higher risk.
Purpose of the Study:
- To report a case of idiopathic bilateral inferior PVT.
- To highlight diagnostic challenges and management strategies for PVT.
- To emphasize the importance of considering PVT in atypical chest pain presentations.
Main Methods:
- A 52-year-old female patient with a history of chronic lymphoedema and deep vein thrombosis presented with chest pain.
- A CT angiogram with delayed contrast timing was utilized for diagnosis.
- Hypercoagulable workup and cancer screening were performed.
Main Results:
- Bilateral inferior pulmonary vein thromboses (PVT) were confirmed.
- The PVT was idiopathic, with no identifiable risk factors.
- Systemic anticoagulation with apixaban was initiated.
Conclusions:
- PVT can manifest as chest pain, particularly in those with a history of blood clots.
- CT angiogram with delayed contrast is effective for PVT detection.
- Systemic anticoagulation is effective, but optimal dosage and duration require further study.
Related Concept Videos
01:27Pneumothorax-II
146
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
146
01:30Pulmonary Hypertension: Classification and Pathogenesis
180
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
180
01:26Pulmonary Tuberculosis IV
143
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
143
01:11Overview of Systemic Veins
468
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
468
01:28Pulmonary Tuberculosis II
237
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
237
01:28Pleural Effusion II: Symptoms and Management
174
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
174