Interventional treatment for pulmonary venous stenosis due to fibrosing mediastinitis: a case report
IntroductionFibrosing mediastinitis is a rare syndrome caused by the abnormal proliferation of mediastinal fibrous tissue. It often causes superior vena cava syndrome, bronchial stenosis, pulmonary vascular stenosis, etc.Patient presentationAn elderly male patient presented with intermittent chest t...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1633432/full |
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| author | Runfeng Gao Xulong Yang Shougang Sun Hao Hu Yangyang Yu |
| author_facet | Runfeng Gao Xulong Yang Shougang Sun Hao Hu Yangyang Yu |
| author_sort | Runfeng Gao |
| collection | DOAJ |
| description | IntroductionFibrosing mediastinitis is a rare syndrome caused by the abnormal proliferation of mediastinal fibrous tissue. It often causes superior vena cava syndrome, bronchial stenosis, pulmonary vascular stenosis, etc.Patient presentationAn elderly male patient presented with intermittent chest tightness, shortness of breath, cough, and large pleural effusion. He was diagnosed with fibrosing mediastinitis through echocardiography, chest CT, and inflammatory indicators. Contrast-enhanced CT and selective angiography showed severe stenosis of multiple branches of bilateral pulmonary veins. The patient is considered to have pulmonary vein stenosis caused by FM, and for further treatment, we performed two interventional therapies at different times. After two operations, the stenosis of bilateral multiple pulmonary veins in this patient has been relieved. Additionally, we also discovered that for pulmonary vein stenosis caused by FM, stent implantation is more effective than balloon dilation.ConclusionThis case report confirmed that interventional treatment for pulmonary vein stenosis is safe and effective. This study also provides a potential treatment approach for pulmonary vein stenosis resulting from fibrosing mediastinitis. |
| format | Article |
| id | doaj-art-55927a4fe19a48f684c463103b1d2b4f |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-55927a4fe19a48f684c463103b1d2b4f2025-08-20T03:36:41ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-08-011210.3389/fcvm.2025.16334321633432Interventional treatment for pulmonary venous stenosis due to fibrosing mediastinitis: a case reportRunfeng GaoXulong YangShougang SunHao HuYangyang YuIntroductionFibrosing mediastinitis is a rare syndrome caused by the abnormal proliferation of mediastinal fibrous tissue. It often causes superior vena cava syndrome, bronchial stenosis, pulmonary vascular stenosis, etc.Patient presentationAn elderly male patient presented with intermittent chest tightness, shortness of breath, cough, and large pleural effusion. He was diagnosed with fibrosing mediastinitis through echocardiography, chest CT, and inflammatory indicators. Contrast-enhanced CT and selective angiography showed severe stenosis of multiple branches of bilateral pulmonary veins. The patient is considered to have pulmonary vein stenosis caused by FM, and for further treatment, we performed two interventional therapies at different times. After two operations, the stenosis of bilateral multiple pulmonary veins in this patient has been relieved. Additionally, we also discovered that for pulmonary vein stenosis caused by FM, stent implantation is more effective than balloon dilation.ConclusionThis case report confirmed that interventional treatment for pulmonary vein stenosis is safe and effective. This study also provides a potential treatment approach for pulmonary vein stenosis resulting from fibrosing mediastinitis.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1633432/fullfibrosing mediastinitispulmonary vein stenosisangioplastystentscontrast-enhanced CT |
| spellingShingle | Runfeng Gao Xulong Yang Shougang Sun Hao Hu Yangyang Yu Interventional treatment for pulmonary venous stenosis due to fibrosing mediastinitis: a case report Frontiers in Cardiovascular Medicine fibrosing mediastinitis pulmonary vein stenosis angioplasty stents contrast-enhanced CT |
| title | Interventional treatment for pulmonary venous stenosis due to fibrosing mediastinitis: a case report |
| title_full | Interventional treatment for pulmonary venous stenosis due to fibrosing mediastinitis: a case report |
| title_fullStr | Interventional treatment for pulmonary venous stenosis due to fibrosing mediastinitis: a case report |
| title_full_unstemmed | Interventional treatment for pulmonary venous stenosis due to fibrosing mediastinitis: a case report |
| title_short | Interventional treatment for pulmonary venous stenosis due to fibrosing mediastinitis: a case report |
| title_sort | interventional treatment for pulmonary venous stenosis due to fibrosing mediastinitis a case report |
| topic | fibrosing mediastinitis pulmonary vein stenosis angioplasty stents contrast-enhanced CT |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1633432/full |
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