Abstract

Background Pulmonary vein thrombosis PVT is a rare clinical entity The aetiologies are very diverse ranging from malignancy to hyper-viscosity syndromes and other etiologies the diagnosis is difficult because the patients may present with dyspnea cough or hemoptysis which may be confused with an etiology of the pulmonary parenchyma Case Report We present a case of a 40-year-old man with a history of metastatic lung cancer diagnosed with PVT through CT scan showing the mass compressing along the right lower pulmonary vein Transthoracic echocardiography revealed a left atrium compressed by a mediastinal tissue mass with acceleration of pulmonary venous flow on doppler this patient was treated with low molecular weight heparin associated with palliative treatment of his cancer Conclusions Patients with PVT often may often have a nonspecific clinical presentation Anticoagulation should be considered in patients with PVT given the life-threatening complications such as peripheral embolization