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Horia Sîrbu
Bernhard Herse
Thomas Busch
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Ann Thorac Surg 1998;65:548
© 1998 The Society of Thoracic Surgeons


Case Reports

Pulmonary Vein Injury Through Repetitive Clip Friction: An Unusual Cause of Hemothorax

Horia Sîrbu, MD, Bernhard Herse, MD, Thomas Busch, MD, Harald Dalichau, MD

Department of Thoracic and Cardiovascular Surgery, Georg-August University, Göttingen, Germany

Accepted for publication September 22, 1997.

Dr Sîrbu, Department of Thoracic and Cardiovascular Surgery, Georg-August University Göttingen, Robert Koch Straße 40, D-37075 Göttingen, Germany.

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.







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