Pulmonary Vein Occlusion Requiring Lobectomy after Radiofrequency Catheter Ablation for Atrial Fibrillation: A Case Report and Review of the Literature

Pulmonary vein stenosis is a potential complication after radiofrequency ablation for atrial fibrillation. We present an unusual case of this complication that progressed to vein occlusion and required lobectomy and review the literature. A 54-year-old man presented with persistent chest pain, dry...

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Main Authors: Žymantas Jagelavičius, Ana Baužienė, Vytautas Jovaišas, Ričardas Janilionis
Format: Article
Language:English
Published: Vilnius University Press 2023-11-01
Series:Lietuvos Chirurgija
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Online Access:https://www.journals.vu.lt/lietuvos-chirurgija/article/view/33651
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author Žymantas Jagelavičius
Ana Baužienė
Vytautas Jovaišas
Ričardas Janilionis
author_facet Žymantas Jagelavičius
Ana Baužienė
Vytautas Jovaišas
Ričardas Janilionis
author_sort Žymantas Jagelavičius
collection DOAJ
description Pulmonary vein stenosis is a potential complication after radiofrequency ablation for atrial fibrillation. We present an unusual case of this complication that progressed to vein occlusion and required lobectomy and review the literature. A 54-year-old man presented with persistent chest pain, dry cough, and hemoptysis. Seven months before he underwent radiofrequency catheter ablation for atrial fibrillation. Chest computed tomography showed a narrowing of the left lower pulmonary vein after the procedure. The patient was treated conservatively. On the presentation, a chest computed tomography scan showed total pulmonary vein occlusion. A quantitative ventilation/perfusion scan revealed no perfusion to the left lower lobe. A balloon angioplasty was performed, however unsuccessfully. The left lower lobectomy was performed. Six years after the lobectomy the patient has neither cardiac nor pulmonary symptoms. Pulmonary vein occlusion after radiofrequency ablation for atrial fibrillation leading to lung resection is still a possible severe complication.
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institution Kabale University
issn 1392-0995
1648-9942
language English
publishDate 2023-11-01
publisher Vilnius University Press
record_format Article
series Lietuvos Chirurgija
spelling doaj-art-f94ab696052d412885a5fcfa72b6a3022025-01-20T18:14:33ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422023-11-0122310.15388/LietChirur.2023.22(3).7Pulmonary Vein Occlusion Requiring Lobectomy after Radiofrequency Catheter Ablation for Atrial Fibrillation: A Case Report and Review of the LiteratureŽymantas Jagelavičius0Ana Baužienė1Vytautas Jovaišas2Ričardas Janilionis3Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, Lithuania Pulmonary vein stenosis is a potential complication after radiofrequency ablation for atrial fibrillation. We present an unusual case of this complication that progressed to vein occlusion and required lobectomy and review the literature. A 54-year-old man presented with persistent chest pain, dry cough, and hemoptysis. Seven months before he underwent radiofrequency catheter ablation for atrial fibrillation. Chest computed tomography showed a narrowing of the left lower pulmonary vein after the procedure. The patient was treated conservatively. On the presentation, a chest computed tomography scan showed total pulmonary vein occlusion. A quantitative ventilation/perfusion scan revealed no perfusion to the left lower lobe. A balloon angioplasty was performed, however unsuccessfully. The left lower lobectomy was performed. Six years after the lobectomy the patient has neither cardiac nor pulmonary symptoms. Pulmonary vein occlusion after radiofrequency ablation for atrial fibrillation leading to lung resection is still a possible severe complication. https://www.journals.vu.lt/lietuvos-chirurgija/article/view/33651radiofrequency ablationpulmonary vein stenosispulmonary vein occlusionlobectomy
spellingShingle Žymantas Jagelavičius
Ana Baužienė
Vytautas Jovaišas
Ričardas Janilionis
Pulmonary Vein Occlusion Requiring Lobectomy after Radiofrequency Catheter Ablation for Atrial Fibrillation: A Case Report and Review of the Literature
Lietuvos Chirurgija
radiofrequency ablation
pulmonary vein stenosis
pulmonary vein occlusion
lobectomy
title Pulmonary Vein Occlusion Requiring Lobectomy after Radiofrequency Catheter Ablation for Atrial Fibrillation: A Case Report and Review of the Literature
title_full Pulmonary Vein Occlusion Requiring Lobectomy after Radiofrequency Catheter Ablation for Atrial Fibrillation: A Case Report and Review of the Literature
title_fullStr Pulmonary Vein Occlusion Requiring Lobectomy after Radiofrequency Catheter Ablation for Atrial Fibrillation: A Case Report and Review of the Literature
title_full_unstemmed Pulmonary Vein Occlusion Requiring Lobectomy after Radiofrequency Catheter Ablation for Atrial Fibrillation: A Case Report and Review of the Literature
title_short Pulmonary Vein Occlusion Requiring Lobectomy after Radiofrequency Catheter Ablation for Atrial Fibrillation: A Case Report and Review of the Literature
title_sort pulmonary vein occlusion requiring lobectomy after radiofrequency catheter ablation for atrial fibrillation a case report and review of the literature
topic radiofrequency ablation
pulmonary vein stenosis
pulmonary vein occlusion
lobectomy
url https://www.journals.vu.lt/lietuvos-chirurgija/article/view/33651
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AT anabauziene pulmonaryveinocclusionrequiringlobectomyafterradiofrequencycatheterablationforatrialfibrillationacasereportandreviewoftheliterature
AT vytautasjovaisas pulmonaryveinocclusionrequiringlobectomyafterradiofrequencycatheterablationforatrialfibrillationacasereportandreviewoftheliterature
AT ricardasjanilionis pulmonaryveinocclusionrequiringlobectomyafterradiofrequencycatheterablationforatrialfibrillationacasereportandreviewoftheliterature