Hemoptysis secondary to pulmonary vein stenosis after radiofrequency ablation for atrial fibrillation: A case report and literature review

作     者：Zhiming Xuan Boyu Liu Minjun Ci Zhe Wang Yong Fan Zhiming Xuan;Boyu Liu;Minjun Ci;Zhe Wang;Yong Fan

作者机构：Tianjin Medical UniversityTianjinGuangdong Road 1#Hexi District300202TianjinChina Department of RadiologyTianjin Medical University General HospitalAnshan Road 154#Heping District300052TianjinChina 

出 版 物：《Journal of Interventional Medicine》 (介入医学杂志（英文）)

年 卷 期：2020年第3卷第2期

页      面：98-100页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Hemoptysis Pulmonary vein Radiofrequency ablation Atrial fibrillation 

摘      要：Objectives: Pulmonary 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 *** results in unnecessary treatment;therefore, greater understanding of PVS can improve the management of these ***: We report the case of a 38-year-old man with a history of RAAF who presented with massive *** symptoms persisted despite undergoing transcatheter bronchial artery embolization on two ***: Pulmonary 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 ***: Unexplained 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.