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Pseudotumors due to pulmonary infarction

Starzl, TE and Brittain, RS and Hermann, G and Marchioro, TL and Waddell, WR (1963) Pseudotumors due to pulmonary infarction. The American Journal of Surgery, 106 (4). 619 - 627. ISSN 0002-9610

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Abstract

The preferred treatment of pulmonary infarction is nonoperative when the diagnosis can be established. In the present study, five cases are described in which failure of resolution or growth of a radiographic density resulted in eventual thoracotomy and pulmonary resection. Carcinoma was suspected in each case, and in one patient, unremitting hemoptysis was an additional indication for operation. It is thought that the infarction was due to an embolus in four patients and to pulmonary arterial thrombosis in the other. Only one of the patients had evidence of peripheral thrombophlebitis, and none had underlying cardiac disease. The infarcts involved the upper lobes in two patients, the lower lobes in two, and both the upper and lower lobes in one. The benign nature of the process was recognized at operation and conservative resections performed. The typical finding was atelectasis of the involved parenchyma with a central necrotic area. In two patients organizing pulmonary emboli were encountered when transecting the pulmonary arterial supply, and in one of these, pulmonary endarterectomy of the remaining vessel was successfully performed. The apparent ages of the infarcts ranged from two weeks to several months. After the diagnosis had been established at operation, prophylactic anticoagulant therapy was not given in four patients, and no recurrences were observed. In the fifth, bilateral superficial femoral vein ligation was performed, also with a good result. © 1963.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Starzl, TEtes11@pitt.eduTES11
Brittain, RS
Hermann, G
Marchioro, TL
Waddell, WR
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 1 October 1963
Date Type: Publication
Journal or Publication Title: The American Journal of Surgery
Volume: 106
Number: 4
Page Range: 619 - 627
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0002-9610
Other ID: uls-drl:31735062122969, Starzl CV No. 55
Date Deposited: 08 Apr 2010 16:59
Last Modified: 16 Oct 2017 05:55
URI: http://d-scholarship.pitt.edu/id/eprint/3441

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