Pulmonary Vein Occlusion and Lung Infarction after Radiofrequency Ablation of Atrial Fibrillation

Background. Pulmonary vein (PV) radiofrequency ablation (RFA) is an effective technique for a selected group of patients with atrial fibrillation (AF) refractory to antiarrhythmic drugs (Alfudhili et al., 2017). However, pulmonary vein occlusion is a potentially rare, sometimes severe, complication...

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Main Authors: Julyan Al Fori, Maryam Al Belushi, Mohammed Al Shuraiqi, Ghalia Al Mohanny, Rashid Al Umairi, Nasser Al Busaidi
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2020/2357846
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author Julyan Al Fori
Maryam Al Belushi
Mohammed Al Shuraiqi
Ghalia Al Mohanny
Rashid Al Umairi
Nasser Al Busaidi
author_facet Julyan Al Fori
Maryam Al Belushi
Mohammed Al Shuraiqi
Ghalia Al Mohanny
Rashid Al Umairi
Nasser Al Busaidi
author_sort Julyan Al Fori
collection DOAJ
description Background. Pulmonary vein (PV) radiofrequency ablation (RFA) is an effective technique for a selected group of patients with atrial fibrillation (AF) refractory to antiarrhythmic drugs (Alfudhili et al., 2017). However, pulmonary vein occlusion is a potentially rare, sometimes severe, complication which may present clinically as nonspecific respiratory symptoms, signifying pulmonary vein stenosis, that are often underrecognized or misdiagnosed, leading to progression of the low-grade stenosis to complete occlusion if not treated with timely intervention (Alfudhili et al., 2017). Case Presentation. We report the first case of haemoptysis, three months postradiofrequency ablation (i.e., late complication) secondary to pulmonary vein occlusion that was diagnosed by computed tomography angiogram (CTA), which showed occlusion of 2 out of 4 native pulmonary veins. Conclusion. The cause of haemoptysis in this patient was pulmonary vein occlusion, secondary to radiofrequency ablation, as demonstrated in the CTA.
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institution Kabale University
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series Case Reports in Pulmonology
spelling doaj-art-fb7cc869a92e4632b097359078002cc52025-02-03T01:27:57ZengWileyCase Reports in Pulmonology2090-68462090-68542020-01-01202010.1155/2020/23578462357846Pulmonary Vein Occlusion and Lung Infarction after Radiofrequency Ablation of Atrial FibrillationJulyan Al Fori0Maryam Al Belushi1Mohammed Al Shuraiqi2Ghalia Al Mohanny3Rashid Al Umairi4Nasser Al Busaidi5Department of Chest Medicine, The Royal Hospital, Muscat, OmanDepartment of Chest Medicine, The Royal Hospital, Muscat, OmanDepartment of Chest Medicine, The Royal Hospital, Muscat, OmanDepartment of Cardiology, The Royal Hospital, Muscat, OmanDepartment of Radiology, The Royal Hospital, Muscat, OmanDepartment of Chest Medicine, The Royal Hospital, Muscat, OmanBackground. Pulmonary vein (PV) radiofrequency ablation (RFA) is an effective technique for a selected group of patients with atrial fibrillation (AF) refractory to antiarrhythmic drugs (Alfudhili et al., 2017). However, pulmonary vein occlusion is a potentially rare, sometimes severe, complication which may present clinically as nonspecific respiratory symptoms, signifying pulmonary vein stenosis, that are often underrecognized or misdiagnosed, leading to progression of the low-grade stenosis to complete occlusion if not treated with timely intervention (Alfudhili et al., 2017). Case Presentation. We report the first case of haemoptysis, three months postradiofrequency ablation (i.e., late complication) secondary to pulmonary vein occlusion that was diagnosed by computed tomography angiogram (CTA), which showed occlusion of 2 out of 4 native pulmonary veins. Conclusion. The cause of haemoptysis in this patient was pulmonary vein occlusion, secondary to radiofrequency ablation, as demonstrated in the CTA.http://dx.doi.org/10.1155/2020/2357846
spellingShingle Julyan Al Fori
Maryam Al Belushi
Mohammed Al Shuraiqi
Ghalia Al Mohanny
Rashid Al Umairi
Nasser Al Busaidi
Pulmonary Vein Occlusion and Lung Infarction after Radiofrequency Ablation of Atrial Fibrillation
Case Reports in Pulmonology
title Pulmonary Vein Occlusion and Lung Infarction after Radiofrequency Ablation of Atrial Fibrillation
title_full Pulmonary Vein Occlusion and Lung Infarction after Radiofrequency Ablation of Atrial Fibrillation
title_fullStr Pulmonary Vein Occlusion and Lung Infarction after Radiofrequency Ablation of Atrial Fibrillation
title_full_unstemmed Pulmonary Vein Occlusion and Lung Infarction after Radiofrequency Ablation of Atrial Fibrillation
title_short Pulmonary Vein Occlusion and Lung Infarction after Radiofrequency Ablation of Atrial Fibrillation
title_sort pulmonary vein occlusion and lung infarction after radiofrequency ablation of atrial fibrillation
url http://dx.doi.org/10.1155/2020/2357846
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