肺静脉前庭隔离术后有症状的急性肺静脉狭窄的药物治疗
Medical treatment of a symptomatic acute pulmonary vein stenosis following antral pulmonary vein isolation.
作者信息
Ulus Taner, Dural Muhammet, Şener Emre, Meşe Pelin, Kurt Emel, Aydın Nevin
机构信息
Department of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey.
Department of Chest Diseases, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey.
出版信息
J Atr Fibrillation. 2020 Feb 28;12(5):2261. doi: 10.4022/jafib.2261. eCollection 2020 Feb-Mar.
Abstract
Pulmonary vein (PV) stenosis is a rare but serious complication of PV isolation. It usually develops 3-6 months after the procedure, but may rarely develop in the acute phase. We present a case of symptomatic PV stenosis within 48 hours after antral PV isolation. Following the initiation of medical treatment including a glucocorticoid, acute changes in the PV wall regressed and the patient's complaint of dyspnea at rest improved rapidly. In addition, long-term renin-angiotensin-aldosterone system (RAAS) blockers were given. The complaint did not recur during follow-up and PV stenosis was mild at 6 months.
摘要
肺静脉狭窄是肺静脉隔离术一种罕见但严重的并发症。它通常在术后3至6个月发生，但在急性期很少发生。我们报告一例在肺静脉前庭隔离术后48小时内出现症状性肺静脉狭窄的病例。在开始包括糖皮质激素在内的药物治疗后，肺静脉壁的急性变化消退，患者静息时呼吸困难的主诉迅速改善。此外，给予了长期的肾素-血管紧张素-醛固酮系统（RAAS）阻滞剂。随访期间主诉未复发，6个月时肺静脉狭窄程度较轻。
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