Pulmonary vein thrombosis after lung transplantation presenting as stroke.

Pulmonary vein thrombosis is a serious complication of lung transplantation. Thrombus formation at the pulmonary venous anastomosis site may result in allograft failure and ischemic stroke. The optimal therapy is not known; open embolectomy and non-surgical management with or without anti-coagulation have been tried with variable success. We report a case of pulmonary vein thrombosis in a 31-year-old woman, presenting with sudden hemiparesis 24 days after lung transplantation.