Drains and Blushes: A Case of Impaired Venous Drainage Mimicking Pulmonary Torsion Nazia Alvi, DO, Raju Z. Abraham, MD, Philip Alexander, MD, Thomas.

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Presentation transcript:

Drains and Blushes: A Case of Impaired Venous Drainage Mimicking Pulmonary Torsion Nazia Alvi, DO, Raju Z. Abraham, MD, Philip Alexander, MD, Thomas Betlej, MD, Arun Jagannathan, MD The Annals of Thoracic Surgery Volume 103, Issue 6, Pages e521-e523 (June 2017) DOI: 10.1016/j.athoracsur.2016.12.026 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Surgical pathology of right upper lobe showed adenocarcinoma (hematoxylin-eosin; original magnification ×200). The Annals of Thoracic Surgery 2017 103, e521-e523DOI: (10.1016/j.athoracsur.2016.12.026) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Chest radiograph on postoperative day 1 demonstrating dense right upper lung field density with no clear air bronchograms. (B) Chest radiograph on postoperative day 2 showing worsening opacification of right upper lung fields. (C) Computed tomography chest coronal view on postoperative day 2 showing decreased diameter of the vasculature, unusual orientation of pulmonary vein, and opacification and congestion in the right upper lung field that was highly suspicious for torsion. (D) Chest radiograph of patient showing normal lung fields with some expected tenting of right diaphragm 6 months after right middle lobectomy surgery. The Annals of Thoracic Surgery 2017 103, e521-e523DOI: (10.1016/j.athoracsur.2016.12.026) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Surgical pathology showed congested pulmonary vein of the right middle lobe (hematoxylin-eosin; original magnification ×100). (B) Intraalveolar hemorrhage was noted on pathology of the right middle lobe after surgical removal (hematoxylin-eosin; original magnification ×100). The Annals of Thoracic Surgery 2017 103, e521-e523DOI: (10.1016/j.athoracsur.2016.12.026) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions