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Lobectomy due to Pulmonary Vein Occlusion after Radiofrequency Ablation for Atrial Fibrillation.

作者信息

Papakonstantinou Nikolaos A, Zisis Charalambos, Kouvidou Charikleia, Stratakos Grigoris

机构信息

Department of Cardiothoracic Surgery, National and Kapodistrian University of Athens.

Department of Anatomic Pathology, Evangelismos General Hospital of Athens, National and Kapodistrian University of Athens.

出版信息

Korean J Thorac Cardiovasc Surg. 2018 Aug;51(4):290-292. doi: 10.5090/kjtcs.2018.51.4.290. Epub 2018 Aug 5.

DOI:10.5090/kjtcs.2018.51.4.290
PMID:30109211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6089619/
Abstract

Radiofrequency ablation is an effective treatment for atrial fibrillation. Pulmonary vein stenosis/occlusion is one of its rare complications. Herein, the case of a 50-year-old man with hemoptysis and migratory pulmonary infiltrations after transcatheter radiofrequency ablation for atrial fibrillation is presented. Initially, pneumonia, interstitial pulmonary disease, or lung cancer was suspected, but wedge resection revealed hemorrhagic infiltrations. Chest computed tomography pulmonary angiography detected no left superior pulmonary vein due to its total occlusion, and left upper lobectomy was performed. Post-ablation pulmonary vein occlusion must be strongly suspected in cases of migratory pulmonary infiltrations and/or hemoptysis.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f000/6089619/1c2d5ca98ab1/kjtcv-51-290f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f000/6089619/74ce5a378a23/kjtcv-51-290f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f000/6089619/1c2d5ca98ab1/kjtcv-51-290f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f000/6089619/74ce5a378a23/kjtcv-51-290f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f000/6089619/1c2d5ca98ab1/kjtcv-51-290f2.jpg

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Staged surgical repair of severe pulmonary stenosis post radiofrequency ablation.

本文引用的文献

1
Pulmonary vein stenosis requiring lobectomy after radiofrequency catheter ablation for atrial fibrillation.心房颤动射频导管消融术后需行肺叶切除术的肺静脉狭窄
J Cardiovasc Surg (Torino). 2012 Dec;53(6):821-3.
2
Prevalence and predictors of complications of radiofrequency catheter ablation for atrial fibrillation.射频导管消融治疗心房颤动的并发症的发生率及预测因素。
J Cardiovasc Electrophysiol. 2011 Jun;22(6):626-31. doi: 10.1111/j.1540-8167.2010.01995.x. Epub 2011 Jan 15.
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Pulmonary vein isolation for the maintenance of sinus rhythm in patients with atrial fibrillation: a meta-analysis of randomized, controlled trials.
射频消融术后重度肺动脉狭窄的分期手术修复
J Surg Case Rep. 2022 Sep 5;2022(9):rjac390. doi: 10.1093/jscr/rjac390. eCollection 2022 Sep.
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Pulmonary Vein Occlusion and Lung Infarction after Radiofrequency Ablation of Atrial Fibrillation.心房颤动射频消融术后的肺静脉闭塞和肺梗死
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4
Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation.全球更新的关于人房颤导管消融方法、疗效和安全性的调查。
Circ Arrhythm Electrophysiol. 2010 Feb;3(1):32-8. doi: 10.1161/CIRCEP.109.859116. Epub 2009 Dec 7.
5
Complete pulmonary venous occlusion after radiofrequency ablation for atrial fibrillation.心房颤动射频消融术后完全性肺静脉闭塞
Ann Thorac Surg. 2009 Jan;87(1):292-5. doi: 10.1016/j.athoracsur.2008.06.060.
6
Early complications of pulmonary vein catheter ablation for atrial fibrillation: a multicenter prospective registry on procedural safety.心房颤动肺静脉导管消融的早期并发症：一项关于手术安全性的多中心前瞻性注册研究
Heart Rhythm. 2007 Oct;4(10):1265-71. doi: 10.1016/j.hrthm.2007.06.016. Epub 2007 Jun 21.
7
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
J Am Coll Cardiol. 2006 Dec 19;48(12):2493-9. doi: 10.1016/j.jacc.2006.08.038. Epub 2006 Nov 28.
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Clinical presentation, investigation, and management of pulmonary vein stenosis complicating ablation for atrial fibrillation.房颤消融术后并发肺静脉狭窄的临床表现、检查及处理
Circulation. 2005 Feb 8;111(5):546-54. doi: 10.1161/01.CIR.0000154541.58478.36.