Pulmonary venous infarction

Warren A. Williamson, Bruce S. Tronic, Nathan Levitan, David G. Webb-Johnson, David M. Shahian, F. Henry Ellis, Jr.

Lahey Clinic Medical Center.
United States

Chest
Chest 1992; 102: 937-940
DOI: 10.1378/chest.102.3.937

Abstract
Pulmonary venous infarction, although rare, can develop in patients with the various pathologic conditions outlined. The triad of cough, dyspnea, and hemoptysis should raise clinical suspicion. The venous phase of pulmonary arteriography is the best way to document pulmonary venous obstruction, although MR imaging may also prove useful in the future. Treatment of patients with pulmonary venous infarction should be determined on the basis of the obstructing pathologic findings. Antibiotic therapy is important, as evidenced by the early experimental experience with this condition. It may be the only treatment available to patients with idiopathic fibrosing mediastinitis. Pulmonary resection, however, can be accomplished when a localized obstructing lesion is identified.

Category
Stenosis or Obstruction of Normal Pulmonary Venous Connections
Pulmonary Hypertension Associated with Stenosis or Atresia of Pulmonary Veins
Symptoms and Quality of Life Associated with Pulmonary Venous Obstruction
Diagnostic Testing. Noninvasive
Diagnostic Testing. Invasive
Pulmonary Venous Pathology
Surgical Interventions for Pulmonary Venous Obstruction After the Onset of Disease

Year of Publication: 1992

Age Focus: Pediatric or Adult

Article Type: Review

Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No