Pulmonary Vein Stenosis Following Radiofrequency Catheter Ablation Presenting With Massive Pleural Effusion: A Case Report.

IF 0.7 Q4 RESPIRATORY SYSTEM

Respirology Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-10-01 DOI:10.1002/rcr2.70770

Yasuhiko Nikaido, Kei Yamasaki, Tatsuya Shingu, Yuki Hayakawa, Yuto Iwanaga, Yosuke Sasahara, Kazuhiro Yatera

引用次数: 0

Abstract

We report a rare case of pulmonary vein stenosis (PVS) presenting with massive pleural effusion 5 months after radiofrequency catheter ablation (RFCA) for atrial fibrillation. A 58-year-old woman developed persistent fever, cough, and left lower lobe consolidation with a large pleural effusion. Initial antibiotic therapy was ineffective. Three-dimensional computed tomography (3D-CT) revealed severe stenosis of the left inferior pulmonary vein. Following balloon angioplasty, both pulmonary consolidation and pleural effusion resolved. Because PVS may present with nonspecific findings and delayed onset, it should be considered in patients with unexplained pulmonary infiltrates or pleural effusion after RFCA.

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射频导管消融后肺静脉狭窄伴大量胸腔积液1例报告。

我们报告一例罕见的肺静脉狭窄（PVS）在射频导管消融（RFCA）治疗房颤后5个月出现大量胸腔积液。一名58岁女性出现持续发热，咳嗽，左下肺叶实变伴大量胸腔积液。最初的抗生素治疗无效。三维计算机断层扫描（3D-CT）显示左下肺静脉严重狭窄。球囊血管成形术后，肺实变和胸腔积液均得到缓解。由于PVS可能表现出非特异性的表现和延迟的发病，在RFCA后出现不明原因的肺浸润或胸腔积液的患者中应考虑PVS。

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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来源期刊

Respirology Case Reports RESPIRATORY SYSTEM-

CiteScore

1.40

自引率

0.00%

发文量

178

审稿时长

8 weeks

期刊介绍： Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.