False Thrombus in the Pulmonary Vein: Multimodality in Post–Lung Transplantation

Echocardiography 2026 Open access

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Authors: Diego Rangel‐Rivera, Gustavo Alexis Lemus-Barrios, Alejandro Herrera Frey, Carlos‐Eduardo Guerrero‐Chalela, Juan Felipe Vásquez
DOI: 10.1111/echo.70403
Cited by: 0
References: 4

Abstract

We present the case of a 26-year-old woman who underwent bilateral lung transplantation. In the postoperative period, she developed impaired oxygenation and pulmonary opacities predominantly on the left side. Transesophageal echocardiography revealed a finding initially interpreted as thrombus in the left pulmonary vein. However, multimodality imaging established that the appearance was due to redundant donor pulmonary vein wall tissue folded at the anastomosis by the surgical technique, without significant obstruction. A multidisciplinary team chose conservative management, with good clinical and imaging outcomes at 6-month follow-up.

Fields of Study & Subjects

Transplantation: Methods and Outcomes Congenital Heart Disease Studies Pulmonary Hypertension Research and Treatments

Publication details

Journal / source
Echocardiography
Volume
43
Issue
2
Pages
e70403–e70403
Publication date
1 February 2026
Language
EN