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Manabe S, Oshima Y, Nakano M, et al. Renal infarction in a patient with pulmonary vein thrombosis after left upper lobectomy. Case Rep Nephrol Urol. 2014;4(2):103-8doi: 10.1159/000363224.
Manabe, S., Oshima, Y., Nakano, M., Fujii, T., Maehara, T., Nitta, K., & Hatano, M. (2014). Renal infarction in a patient with pulmonary vein thrombosis after left upper lobectomy. Case reports in nephrology and urology, 4(2), 103-8. https://doi.org/10.1159/000363224
Manabe, Shun, et al. "Renal infarction in a patient with pulmonary vein thrombosis after left upper lobectomy." Case reports in nephrology and urology vol. 4,2 (2014): 103-8. doi: https://doi.org/10.1159/000363224
Manabe S, Oshima Y, Nakano M, Fujii T, Maehara T, Nitta K, Hatano M. Renal infarction in a patient with pulmonary vein thrombosis after left upper lobectomy. Case Rep Nephrol Urol. 2014 May 22;4(2):103-8. doi: 10.1159/000363224. eCollection 2014 May. PMID: 24987406; PMCID: PMC4067727.
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Case Rep Nephrol Urol. 2014 May 22;4(2):103-8. doi: 10.1159/000363224. eCollection 2014 May.

Renal infarction in a patient with pulmonary vein thrombosis after left upper lobectomy.

Case reports in nephrology and urology

Shun Manabe, Yasuko Oshima, Marie Nakano, Teruhiro Fujii, Takamitsu Maehara, Kosaku Nitta, Michiyasu Hatano

Affiliations

  1. Department of Nephrology, Yokohama Rosai Hospital, Yokohama, Japan.
  2. Department of Thoracic Surgery, Yokohama Rosai Hospital, Yokohama, Japan.
  3. Department of Medicine, Kidney Center, Tokyo Women's Medical University, Tokyo, Japan.

PMID: 24987406 PMCID: PMC4067727 DOI: 10.1159/000363224

Abstract

A 43-year-old male experienced renal infarction (RI) following left upper lobectomy for lung cancer. The patient complained of acute-onset severe left flank pain on the 14th postoperative day. A contrast-enhanced computed tomography (CT) of the abdomen revealed RI by a large wedge-shaped defect in the left kidney. A chest CT scan located the thrombus in the stump (a blind-ended vessel) of the left superior pulmonary vein. Therefore, thromboembolic RI caused by pulmonary vein thrombosis was suspected. Anticoagulation therapy was initiated with heparin and warfarin to treat RI and to prevent further embolic episodes. Two months later, pulmonary vein thrombosis had resolved without the appearance of additional peripheral infarction. This case emphasizes the need to consider thrombus in the stump of the pulmonary vein as a cause of RI.

Keywords: Lung cancer; Lung resection; Peripheral infarction; Pulmonary vein thrombosis; Renal infarction

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