Division of Cardiovascular Surgery, Japan Red Cross Society Wakayama Medical Center, 4-20 Komatsubara-dori, Wakayama City, Wakayama, 640-8558, Japan.
Department of Cardiovascular Surgery, Nara Prefecture General Medical Center, Nara, Japan.
Gen Thorac Cardiovasc Surg. 2021 Dec;69(12):1580-1584. doi: 10.1007/s11748-021-01700-7. Epub 2021 Sep 12.
Acquired pulmonary vein (PV) stenosis (PVS) is a complication following cardiac catheter intervention. However, very few cases of PVS after surgical ablation have been reported. We herein report a case of stenosis and occlusion at the left atrium to each pulmonary vein after surgical ablation. A 73-year-old woman who had received aortic valve replacement and pulmonary vein isolation 10 months earlier was diagnosed with congestive heart failure accompanied by pulmonary hypertension. Contrast-enhanced computed tomography revealed stenosis and complete occlusion of the left atrium to all four pulmonary veins. Surgical repair was performed via pericardial patch reconstruction of the left atrium to each PV. Treating multiple PV lesions with involvement of the left atrium wall requires tailored methods. However, there have been few reports concerning such methods of reconstruction. We herein report a method of reconstructing the left atrium and pulmonary veins at the same time.
获得性肺静脉（PV）狭窄（PVS）是心脏导管介入治疗后的并发症。然而，手术后发生 PVS 的病例非常少见。本文报告了一例手术后消融导致左心房至各肺静脉狭窄和闭塞的病例。一名 73 岁女性，10 个月前接受了主动脉瓣置换和肺静脉隔离术，诊断为充血性心力衰竭伴肺动脉高压。增强 CT 显示左心房至四支肺静脉狭窄和完全闭塞。通过心包补片重建左心房至各 PV 进行了手术修复。治疗累及左心房壁的多支 PV 病变需要定制的方法。然而，关于这种重建方法的报道很少。本文报告了一种同时重建左心房和肺静脉的方法。
