Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA.
J Cardiovasc Electrophysiol. 2012 Jun;23(6):656-8. doi: 10.1111/j.1540-8167.2011.02272.x. Epub 2012 Mar 19.
Pulmonary vein stenosis can complicate ablation procedures for atrial fibrillation and often presents with severe respiratory symptoms. Described in this case report is a 21-year-old male who underwent a bilateral surgical augmentation of the pulmonary veins for severe occlusive pulmonary vein stenosis. The occluded left lower and right upper lobe veins were surgically modified to regain flow to the left atrium. Follow-up computed tomogram imaging showed patency of the veins intervened upon and an exercise test demonstrated an oxygen saturation of 98% at peak stress.This case report marks the first-ever surgical intervention for acquired pulmonary vein stenosis.
肺静脉狭窄可使房颤消融术复杂化，且常伴有严重的呼吸症状。本病例报告介绍了一位 21 岁男性，因严重的阻塞性肺静脉狭窄而行双侧肺静脉外科增强术。通过手术修正了闭塞的左下肺静脉和右上肺静脉，以恢复左心房的血流。随访的计算机断层扫描（CT）成像显示干预的静脉通畅，运动试验显示在最大运动负荷时血氧饱和度为 98%。本病例报告标志着首例获得性肺静脉狭窄的外科干预。
