Belin Rashad J, Leya Marysa V, Bediako Timothy, Ronan Adam P, Schwartz Jeffrey, Leya Ferdinand
Loyola University Medical Center, Heart and Vascular Center, Chicago, IL, USA.
Franciscan Health-Olympia Fields Heart and Vascular Institute, Olympia Fields, IL, USA.
J Cardiol Cases. 2020 Jul 1;22(5):203-206. doi: 10.1016/j.jccase.2020.06.007. eCollection 2020 Nov.
Pulmonary vein stenosis (PVS) is a rare, severe, and potentially fatal complication most often arising from pulmonary vein ablation for medication refractory, symptomatic, and permanent atrial fibrillation. At present, the optimal approach for the management of PVS remains to be defined. Here, we describe a unique case of bifurcation pulmonary venoplasty and stenting in a patient with recalcitrant PVS after surgical reconstruction of her pulmonary veins. To our knowledge, this is the first such report of its kind. < The optimal approach to managing complex pulmonary vein stenosis (PVS) is unclear. Our aim is to illustrate our successful approach for treating recalcitrant and complex PVS using dual transseptal access and kissing balloon bifurcation pulmonary venoplasty.>.
肺静脉狭窄（PVS）是一种罕见、严重且可能致命的并发症，最常发生于因药物难治性、有症状的永久性心房颤动而进行的肺静脉消融术后。目前，PVS的最佳治疗方法仍有待确定。在此，我们描述了一例独特的病例，该患者在肺静脉手术重建后出现顽固性PVS，接受了分叉肺静脉成形术和支架置入术。据我们所知，这是此类报告中的首例。<治疗复杂肺静脉狭窄（PVS）的最佳方法尚不清楚。我们的目的是阐述我们使用双房间隔穿刺入路和双球囊对吻分叉肺静脉成形术治疗顽固性和复杂PVS的成功方法。>
