Hemoptysis secondary to pulmonary vein stenosis after radiofrequency ablation for atrial fibrillation: A case report and literature review |
| |
Authors: | Zhiming Xuan Boyu Liu Minjun Ci Zhe Wang Yong Fan |
| |
Affiliation: | aTianjin Medical University, Tianjin, Guangdong Road 1#, Hexi District, 300202, Tianjin, China;bDepartment of Radiology, Tianjin Medical University General Hospital, Anshan Road 154#, Heping District, 300052, Tianjin, China |
| |
Abstract: | ObjectivesPulmonary vein stenosis (PVS) is a known complication after radiofrequency ablation of atrial fibrillation (RAAF) and is often misdiagnosed owing to lack of awareness regarding PVS among noncardiologists. Misdiagnosis results in unnecessary treatment; therefore, greater understanding of PVS can improve the management of these patients.MethodsWe report the case of a 38-year-old man with a history of RAAF who presented with massive hemoptysis. His symptoms persisted despite undergoing transcatheter bronchial artery embolization on two occasions.ResultsPulmonary computed tomography angiography revealed a completely occluded left superior pulmonary vein. Considering the patient’s history of RAAF, we diagnosed him with RAAF-induced PVS and performed left superior lobectomy after which hemoptysis did not recur.ConclusionsUnexplained massive hemoptysis should alert clinicians regarding the possibility of RAAF-induced PVS. Balloon angioplasty and stent placement are used to treat PVS; however, their efficacy is controversial considering the high recurrence rates associated with these interventions. |
| |
Keywords: | Hemoptysis Pulmonary vein Radiofrequency ablation Atrial fibrillation |
本文献已被 ScienceDirect 等数据库收录! |
|