Scientific Publications Database
Article Title: Acute Management of Infected Chronic Thromboembolic DiseaseAuthors: Kimmaliardjuk, Donna May; Dennie, Carole; Dickie, Sean; Belanger, Eric C.; Rubens, Fraser
Journal: ANNALS OF THORACIC SURGERY Volume 106 Issue 4
Date of Publication:2018
Abstract:
A 29-year-old man with chronic pulmonary emboli presented to the hospital with progressive pleuritic chest pain. He was in acute right ventricular failure and received intrapulmonary arterial tissue plasminogen activator. Massive hemoptysis developed, requiring emergent thromboendarterectomy. A clot was visualized in the main left pulmonary artery that had formed a bronchovascular fistula into the left upper lobe bronchus. Pathology of the clot revealed fibrinopurulent exudate and Gram-positive cocci. The left pulmonary artery was repaired with a pericardial patch, and the left upper lobe was oversewn with subsequent left upper lobectomy. The patient was discharged home on postoperative day 23. (C) 2018 by The Society of Thoracic Surgeons.