Pulmonary vein injury through repetitive clip friction: an unusual cause of hemothorax.

Sîrbu, H; Herse, B; Busch, T; Dalichau, H · Ann Thorac Surg · 1998

case_report · Level V

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Abstract

Massive hemothorax developed in a 58-year-old man 12 hours after a left pneumonectomy. The source of bleeding was a tear in the pulmonary vein stump caused by a titanium clip that had been used during mediastinal lymphadenectomy. Postoperatively, the clip progressively sawed through the vascular wall of the pulmonary vein due to friction during the cardiac cycle.

Medical subject headings