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KMID : 0383820080640010028
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Tuberculosis and Respiratory Diseases
2008 Volume.64 No. 1 p.28 ~ p.32
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A Case of Pulmonary Arterial Thrombosis in a Patient with Tuberculous-destroyed Lung and Pulmonary Hypertension
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Lee Ji-Eun
Kim Jung-Hyun
Kang Min-Kyoung
Park Hyun-Jeong
Lee Ji-Hyun
Kim Eun-Kyung
Lee Young-Kyung
Jeong Hye-Cheol
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Abstract
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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. (Tuberc Respir Dis 2008;64:28-32)
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KEYWORD
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Pulmonary arterial thrombosis, Tuberculous-destroyed Lung, Pulmonary hypertension
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