Venkataraman Rajesh, Loyalka Pranav, Encarnacion Carlos, Safi Hazim J, Cheema Faisal H, Rajagopal Keshava
Methodist Debakey Heart and Vascular Center, Houston, Texas.
Houston Heart, HCA Houston Healthcare, Houston, Texas; Department of Clinical Sciences, University of Houston College of Medicine, Houston, Texas.
Ann Thorac Surg. 2023 Feb;115(2):e33-e35. doi: 10.1016/j.athoracsur.2022.03.005. Epub 2022 Mar 22.
A 71-year-old woman with a history of atrial fibrillation underwent a catheter-based ablation procedure. Months later, she presented with dyspnea and a left-sided pleural effusion. Diagnostic evaluation revealed left-sided pulmonary venous occlusion, with essentially absent left lung perfusion. The patient underwent left pneumonectomy, with left atrial appendage occlusion. Although lobectomy for pulmonary venous occlusion of a single vein after pulmonary vein isolation has been described, this appears to be a novel report of occluded pulmonary venous drainage of an entire lung necessitating pneumonectomy.
一名有房颤病史的71岁女性接受了导管消融手术。数月后，她出现呼吸困难和左侧胸腔积液。诊断评估显示左侧肺静脉闭塞，左肺灌注基本缺失。该患者接受了左肺切除术及左心耳封堵术。虽然已有关于肺静脉隔离后单一肺静脉闭塞行肺叶切除术的报道，但这似乎是首例因整个肺的肺静脉引流闭塞而需要进行肺切除术的新报道。
