Korean J Thorac Cardiovasc Surg.
2018 Aug;51(4):290-292. 10.5090/kjtcs.2018.51.4.290.
Lobectomy due to Pulmonary Vein Occlusion after Radiofrequency Ablation for Atrial Fibrillation
- Affiliations
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- 1Department of Cardiothoracic Surgery, National and Kapodistrian University of Athens, Korea. nikppk@yahoo.gr
- 2Department of Anatomic Pathology, Evangelismos General Hospital of Athens, National and Kapodistrian University of Athens, Korea.
- 3Department of 1st Pulmonary Medicine, Thoracic Diseases General Hospital Sotiria, National and Kapodistrian University of Athens, Korea.
- KMID: 2418589
- DOI: http://doi.org/10.5090/kjtcs.2018.51.4.290
Abstract
- Radiofrequency ablation is an effective treatment for atrial fibrillation. Pulmonary vein stenosis/occlusion is one of its rare complications. Herein, the case of a 50-year-old man with hemoptysis and migratory pulmonary infiltrations after transcatheter radiofrequency ablation for atrial fibrillation is presented. Initially, pneumonia, interstitial pulmonary disease, or lung cancer was suspected, but wedge resection revealed hemorrhagic infiltrations. Chest computed tomography pulmonary angiography detected no left superior pulmonary vein due to its total occlusion, and left upper lobectomy was performed. Post-ablation pulmonary vein occlusion must be strongly suspected in cases of migratory pulmonary infiltrations and/or hemoptysis.
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