[Pulmonary vein stenosis after radiofrequency ablation for atrial fibrillation: a case report].

Y Li, R Wang, B Wang, D Z Pan
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引用次数: 0

Abstract

Pulmonary vein stenosis (PVS) is characterized by the stenosis of one or more pulmonary veins leading to progressive dyspnea, cough, and hemoptysis. Currently, iatrogenic PVS is the most common type of PVS in adults, mainly due to the increased popularity of radiofrequency ablation for the treatment of atrial fibrillation. Due to the lack of specific clinical manifestations in the early stages and the absence of routine imaging surveillance after radiofrequency ablation, the diagnosis of PVS is challenging in clinical practice. This paper reports a case of a patient with PVS who had several visits to the respiratory department for non-specific symptoms such as chest tightness, shortness of breath, cough, and hemoptysis, leading to delayed diagnosis and treatment. We hope that the discussion of this case would improve the clinicians' awareness of PVS following radiofrequency ablation.

【心房颤动射频消融后肺静脉狭窄1例】。
肺静脉狭窄(PVS)的特征是一条或多条肺静脉狭窄,导致进行性呼吸困难、咳嗽和咯血。目前,医源性PVS是成人中最常见的PVS类型,主要是由于射频消融治疗房颤的日益普及。由于早期缺乏特异性临床表现,且射频消融后缺乏常规影像学监测,临床上对PVS的诊断具有挑战性。本文报告一例PVS患者因胸闷、呼吸短促、咳嗽、咯血等非特异性症状多次到呼吸科就诊,导致诊断和治疗延误。我们希望本病例的讨论能提高临床医生对射频消融后PVS的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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