Pulmonary Vein Stenosis Mimicking Nonspecific Interstitial Pneumonia
Pulmonary vein stenosis (PVS) is a known complication after catheter ablation of arrhythmias. Surprisingly, little information is available on its manifestations in the lung. We describe the case of a 39-year-old woman who presented from an outside hospital with worsening shortness of breath after c...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2015/290391 |
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| author | Karthika R. Linga Andras Khoor Jonathan A. Phelan Isabel Mira-Avendano |
| author_facet | Karthika R. Linga Andras Khoor Jonathan A. Phelan Isabel Mira-Avendano |
| author_sort | Karthika R. Linga |
| collection | DOAJ |
| description | Pulmonary vein stenosis (PVS) is a known complication after catheter ablation of arrhythmias. Surprisingly, little information is available on its manifestations in the lung. We describe the case of a 39-year-old woman who presented from an outside hospital with worsening shortness of breath after catheter ablation of pulmonary veins for atrial fibrillation. After an initial diagnosis of pneumonia and its nonimprovement with antibiotics, a surgical lung biopsy was done and interpreted as nonspecific interstitial pneumonia (NSIP) with vascular changes consistent with pulmonary arterial hypertension. Later, she was admitted to our institution where a transthoracic echocardiogram (TTE) and subsequent computed tomography (CT) angiogram of the heart showed severe stenosis of all four pulmonary veins. The previous lung biopsy was rereviewed and reinterpreted as severe parenchymal congestion mimicking NSIP. Our case demonstrates that PVS is an underrecognized complication of catheter ablation, and increased awareness among both clinicians and pathologists is necessary to avoid misdiagnosis. |
| format | Article |
| id | doaj-art-ad480b85d377438d9f1ae743a5305504 |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-ad480b85d377438d9f1ae743a53055042025-02-03T05:43:44ZengWileyCase Reports in Pulmonology2090-68462090-68542015-01-01201510.1155/2015/290391290391Pulmonary Vein Stenosis Mimicking Nonspecific Interstitial PneumoniaKarthika R. Linga0Andras Khoor1Jonathan A. Phelan2Isabel Mira-Avendano3Department of Pulmonary Medicine, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USADepartment of Laboratory Medicine and Pathology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USADepartment of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USADepartment of Pulmonary Medicine, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USAPulmonary vein stenosis (PVS) is a known complication after catheter ablation of arrhythmias. Surprisingly, little information is available on its manifestations in the lung. We describe the case of a 39-year-old woman who presented from an outside hospital with worsening shortness of breath after catheter ablation of pulmonary veins for atrial fibrillation. After an initial diagnosis of pneumonia and its nonimprovement with antibiotics, a surgical lung biopsy was done and interpreted as nonspecific interstitial pneumonia (NSIP) with vascular changes consistent with pulmonary arterial hypertension. Later, she was admitted to our institution where a transthoracic echocardiogram (TTE) and subsequent computed tomography (CT) angiogram of the heart showed severe stenosis of all four pulmonary veins. The previous lung biopsy was rereviewed and reinterpreted as severe parenchymal congestion mimicking NSIP. Our case demonstrates that PVS is an underrecognized complication of catheter ablation, and increased awareness among both clinicians and pathologists is necessary to avoid misdiagnosis.http://dx.doi.org/10.1155/2015/290391 |
| spellingShingle | Karthika R. Linga Andras Khoor Jonathan A. Phelan Isabel Mira-Avendano Pulmonary Vein Stenosis Mimicking Nonspecific Interstitial Pneumonia Case Reports in Pulmonology |
| title | Pulmonary Vein Stenosis Mimicking Nonspecific Interstitial Pneumonia |
| title_full | Pulmonary Vein Stenosis Mimicking Nonspecific Interstitial Pneumonia |
| title_fullStr | Pulmonary Vein Stenosis Mimicking Nonspecific Interstitial Pneumonia |
| title_full_unstemmed | Pulmonary Vein Stenosis Mimicking Nonspecific Interstitial Pneumonia |
| title_short | Pulmonary Vein Stenosis Mimicking Nonspecific Interstitial Pneumonia |
| title_sort | pulmonary vein stenosis mimicking nonspecific interstitial pneumonia |
| url | http://dx.doi.org/10.1155/2015/290391 |
| work_keys_str_mv | AT karthikarlinga pulmonaryveinstenosismimickingnonspecificinterstitialpneumonia AT andraskhoor pulmonaryveinstenosismimickingnonspecificinterstitialpneumonia AT jonathanaphelan pulmonaryveinstenosismimickingnonspecificinterstitialpneumonia AT isabelmiraavendano pulmonaryveinstenosismimickingnonspecificinterstitialpneumonia |