Abstract | BACKGROUND: CASE PRESENTATION: We herein describe a 62-year-old man with refractory massive hemoptysis after radiofrequency catheter ablation for AF, which was successfully controlled by surgical lobectomy and endovascular bilateral PV stenting. The hemorrhage was derived from the bilateral lungs following PV obstruction and bilateral PVS, which was definitively diagnosed by bronchoscopic examination. The patient had no recurrence of hemoptysis during a follow-up period of 30 months, and the PV stents had not narrowed as shown by computed tomography 30 months after stent placement. CONCLUSIONS: Massive hemoptysis can be caused by bilateral PVS after radiofrequency catheter ablation for AF, and hemorrhage from the bilateral lungs in such patients is extremely rare. Nevertheless, cardiologists, interventional radiologists, and pulmonologists should consider the potential for massive hemoptysis caused by PVS.
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Authors | Dong Yu, Bing Jie, Ling-Ling Li, Sen Jiang |
Journal | BMC cardiovascular disorders
(BMC Cardiovasc Disord)
Vol. 19
Issue 1
Pg. 162
(07 04 2019)
ISSN: 1471-2261 [Electronic] England |
PMID | 31272384
(Publication Type: Case Reports, Video-Audio Media)
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Topics |
- Angioplasty, Balloon
(instrumentation)
- Atrial Fibrillation
(diagnosis, physiopathology, surgery)
- Catheter Ablation
(adverse effects)
- Hemoptysis
(diagnostic imaging, etiology, physiopathology, therapy)
- Humans
- Male
- Middle Aged
- Pneumonectomy
- Pulmonary Veins
(diagnostic imaging, physiopathology, surgery)
- Stenosis, Pulmonary Vein
(diagnostic imaging, etiology, physiopathology, therapy)
- Stents
- Treatment Outcome
- Vascular Patency
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