Tuberc Respir Dis > Volume 64(1); 2008 > Article
Tuberculosis and Respiratory Diseases 2008;64(1):28-32.
DOI: https://doi.org/10.4046/trd.2008.64.1.28    Published online January 1, 2008.
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.
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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