Tarui Tatsuya, Watanabe Go, Kiuchi Ryuta, Tomita Shigeyuki, Ohtake Hiroshi, Yoshizumi Ko
Department of Cardiovascular Surgery, NewHeart Watanabe Institute, Tokyo, Japan.
Department of Cardiovascular Surgery, NewHeart Watanabe Institute, Tokyo, Japan.
Ann Thorac Surg. 2017 Sep;104(3):e253-e254. doi: 10.1016/j.athoracsur.2017.03.071.
Radiofrequency ablation procedures for atrial fibrillation are occasionally associated with pulmonary vein stenosis (PVS). A common treatment for PVS is catheter intervention; however, because of the high restenosis rate, it is not suitable for young patients. The case presented herein is of a young male patient with severe bilateral PVS who underwent successful surgical pulmonary vein repair by sutureless technique. The stenotic lesions of the pulmonary veins were dissected and were covered using autologous pericardium. An enhanced computed tomographic scan revealed that all the pulmonary veins were widely patent after 6 months from the operation.
心房颤动的射频消融手术偶尔会并发肺静脉狭窄（PVS）。PVS的常见治疗方法是导管介入；然而，由于再狭窄率高，它不适用于年轻患者。本文介绍的病例是一名患有严重双侧PVS的年轻男性患者，他通过无缝合技术成功进行了外科肺静脉修复手术。肺静脉的狭窄病变被切除，并用自体心包覆盖。增强计算机断层扫描显示，术后6个月所有肺静脉均广泛通畅。
