Idiopathic bilateral pulmonary vein thrombosis
  • Adeel Nasrullah
    Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, USA
  • Muhammad Ibraiz Bilal
    Department of Internal Medicine, Allegheny Health Network, Pittsburgh, USA
  • Khalid Malik
    Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, USA
  • Briana DiSilvio
    Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, USA
  • Tariq Cheema
    Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, USA

Keywords

Pulmonary vein thrombosis, idiopathic, anticoagulation

Abstract

A 52-year-old female with a history of chronic lymphoedema and untreated deep vein thrombosis, presented with non-specific right-sided chest pain. A CT angiogram confirmed bilateral inferior pulmonary vein thromboses (PVT). A comprehensive hypercoagulable workup and age-appropriate cancer screening were unremarkable; the lack of associated risk factors confirmed idiopathic PVT. The management strategy of systemic anticoagulation with apixaban and multidisciplinary follow-up underscores the treatment challenges of rare presentations. This case accentuates the importance of considering PVT in differential diagnoses of atypical chest pain and contributes valuable insights into the diagnosis, understanding and management of this uncommon condition.

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    Published: 2024-01-26
    Issue: 2024: Vol 11 No 2 (view)


    How to cite:
    1.
    Nasrullah A, Bilal MI, Malik K, DiSilvio B, Cheema T. Idiopathic bilateral pulmonary vein thrombosis. EJCRIM 2024;11 doi:10.12890/2024_004291.

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