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反复咯血作为严重肺静脉狭窄的症状——心房颤动导管消融术的一种罕见并发症。

Recurrent haemoptysis as a symptom of severe pulmonary vein stenosis-a rare complication of catheter ablation in atrial fibrillation.

作者信息

Romantowski Jan, Kuziemski Krzysztof, Janowicz Alicja, Siemińska Alicja, Szurowska Edyta, Jassem Ewa

机构信息

Department of Pneumonology and Allergology Medical University of Gdańsk Gdańsk Pomorskie Poland.

Department of Radiology Medical University of Gdańsk Gdańsk Pomorskie Poland.

出版信息

Respirol Case Rep. 2017 Jan 9;5(2):e00212. doi: 10.1002/rcr2.212. eCollection 2017 Mar.

DOI:10.1002/rcr2.212
PMID:28096996
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5221469/
Abstract

A pulmonary vein stenosis is a known adverse event of catheter ablation in atrial fibrillation. However, it should be considered due to high frequency of such procedures. Haemoptysis, a symptom of severe stenosis, is often misdiagnosed as other different diseases. We present a case report of a 52-year-old patient with recurrent haemoptysis, dyspnoea, and fatigue, which turned out to be complication after catheter ablation. Successful treatment with drug-eluting stent (DES) was implemented with vast clinical improvement and follow-up.

摘要

肺静脉狭窄是心房颤动导管消融术已知的不良事件。然而，鉴于此类手术的高频率，应予以考虑。咯血作为严重狭窄的一种症状，常被误诊为其他不同疾病。我们报告一例52岁患者，反复咯血、呼吸困难和疲劳，结果发现是导管消融术后的并发症。采用药物洗脱支架（DES）成功治疗，临床症状大幅改善并进行了随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4487/5221469/cbd8e6e23813/RCR2-5-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4487/5221469/76f2484b188d/RCR2-5-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4487/5221469/30e3273af01e/RCR2-5-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4487/5221469/cbd8e6e23813/RCR2-5-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4487/5221469/76f2484b188d/RCR2-5-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4487/5221469/30e3273af01e/RCR2-5-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4487/5221469/cbd8e6e23813/RCR2-5-0-g003.jpg

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本文引用的文献

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Management Of Pulmonary Vein Stenosis Following Catheter Ablation Of Atrial Fibrillation.心房颤动导管消融术后肺静脉狭窄的管理
J Atr Fibrillation. 2014 Jun 30;7(1):1060. doi: 10.4022/jafib.1060. eCollection 2014 Jun-Jul.
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Sutureless technique for recurrent pulmonary vein stenosis after pericardial patchplasty in an adult.成人心包补片成形术后复发性肺静脉狭窄的无缝合技术
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药物洗脱支架治疗房颤消融后肺静脉狭窄。
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Pulmonary vein total occlusion following catheter ablation for atrial fibrillation: clinical implications after long-term follow-up.房颤导管消融术后肺静脉完全闭塞：长期随访后的临床意义
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Pulmonary vein stenosis complicating catheter ablation of focal atrial fibrillation.肺静脉狭窄使局灶性心房颤动导管消融术复杂化。
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