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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chances of blood clots in lung?

I had knee surgery in August 2013. I have had pain in my calf and upper thigh since the surgery. A couple of months ago, I started struggling to breath and having chest pain, and panic attacks. My, question is it possible for a blot clot to have went to my lungs after such a long time after surgery?
Mon, 19 Jan 2015
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Pulmonologist 's  Response
Thanks for your question on HCM.
Possibility of Deep vein thrombosis (DVT) is high after major orthopedic surgery like knee surgery.
But the risk is highest in first six months post operatively.
And after than risks are reduced gradually.
So your calf and thigh pain can be due to DVT.
And chest pain and breathlessness can be due to Pulmonary Embolism (PE) due to detachment of thrombus from leg veins.
Though the possibility of both is very low, it is better to rule out both of these
So get done lower limb venous Doppler, D dimer and CT pulmonary angiography to rule out DVT and PE.
Better to consult pulmonologist and discuss all these.
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Chances of blood clots in lung?

Thanks for your question on HCM. Possibility of Deep vein thrombosis (DVT) is high after major orthopedic surgery like knee surgery. But the risk is highest in first six months post operatively. And after than risks are reduced gradually. So your calf and thigh pain can be due to DVT. And chest pain and breathlessness can be due to Pulmonary Embolism (PE) due to detachment of thrombus from leg veins. Though the possibility of both is very low, it is better to rule out both of these So get done lower limb venous Doppler, D dimer and CT pulmonary angiography to rule out DVT and PE. Better to consult pulmonologist and discuss all these.