PDF(Pubmed)
Abstract：
UNASSIGNED: Pulmonary vein (PV) stenosis is a rare complication after catheter ablation for atrial fibrillation (AF). While there have been reported anecdotal cases of complete PV stenosis requiring pulmonary lobectomy, only one case of pneumonectomy has been documented so far.
UNASSIGNED: A 42-year-old man was referred to our Thoracic Surgery Unit for recurrent haemoptysis and exertional dyspnoea over the past 4 years and a recent finding of left PV occlusion. He suffered of relapsing AF that had almost five recurrences and that underwent a total of two percutaneous catheter ablations within a 7-year period. He also experienced a hospitalization for multifocal lobar pneumonia. Two attempts of percutaneous transluminal angioplasty (PTA) were unsuccessful. Due to the severity and the duration of PV occlusion, the previous PTA failure, the patient\'s age, and his symptoms, a left pneumonectomy was performed. During the postoperative period, the patient experienced only mild anaemia effectively managed with blood transfusions. Five months after surgery, he has no recurrence of symptoms.
UNASSIGNED: When the PV stenosis is complete, PTA may face high failure and recurrence rates. In this setting, anatomical pulmonary resections may represent a valid option to allow symptom relief and resolution.
UNASSIGNED: A 42-year-old man was referred to our Thoracic Surgery Unit for recurrent haemoptysis and exertional dyspnoea over the past 4 years and a recent finding of left PV occlusion. He suffered of relapsing AF that had almost five recurrences and that underwent a total of two percutaneous catheter ablations within a 7-year period. He also experienced a hospitalization for multifocal lobar pneumonia. Two attempts of percutaneous transluminal angioplasty (PTA) were unsuccessful. Due to the severity and the duration of PV occlusion, the previous PTA failure, the patient\'s age, and his symptoms, a left pneumonectomy was performed. During the postoperative period, the patient experienced only mild anaemia effectively managed with blood transfusions. Five months after surgery, he has no recurrence of symptoms.
UNASSIGNED: When the PV stenosis is complete, PTA may face high failure and recurrence rates. In this setting, anatomical pulmonary resections may represent a valid option to allow symptom relief and resolution.
摘要：
■肺静脉（PV）狭窄是心房颤动（AF）导管消融后的罕见并发症。虽然有报道完全肺静脉狭窄需要肺叶切除术的传闻病例，到目前为止，仅记录了一例肺切除术。
■一名42岁的男子在过去4年中因反复咯血和劳力性呼吸困难以及最近发现左肺静脉闭塞而被转诊到我们的胸外科病房。他患有复发性房颤，几乎复发了5次，并且在7年内总共进行了两次经皮导管消融。他还因多灶性大叶性肺炎住院。两次经皮腔内血管成形术（PTA）的尝试均未成功。由于肺静脉阻塞的严重程度和持续时间,以前的PTA失败，病人的年龄,还有他的症状,进行了左肺切除术.在术后期间，患者仅出现轻度贫血,经输血有效治疗.手术五个月后,他没有复发的症状。
■当肺静脉狭窄完成时，PTA可能面临高的失败和复发率。在此设置中，解剖肺切除术可能是一个有效的选择，以允许症状缓解和解决。
■一名42岁的男子在过去4年中因反复咯血和劳力性呼吸困难以及最近发现左肺静脉闭塞而被转诊到我们的胸外科病房。他患有复发性房颤，几乎复发了5次，并且在7年内总共进行了两次经皮导管消融。他还因多灶性大叶性肺炎住院。两次经皮腔内血管成形术（PTA）的尝试均未成功。由于肺静脉阻塞的严重程度和持续时间,以前的PTA失败，病人的年龄,还有他的症状,进行了左肺切除术.在术后期间，患者仅出现轻度贫血,经输血有效治疗.手术五个月后,他没有复发的症状。
■当肺静脉狭窄完成时，PTA可能面临高的失败和复发率。在此设置中，解剖肺切除术可能是一个有效的选择，以允许症状缓解和解决。
