Refractory Hemoptysis Caused by Severe Pulmonary Vein Stenosis after Multiple Catheter Ablations.

Abstract

We herein report a 48-year-old man with a history of chronic atrial fibrillation (AF) and repeated hemoptysis after radiofrequency ablation. Contrast tomography showed soft tissue thickening of the left hilar region and left pulmonary vein stenosis. We performed bronchial artery embolization, but the hemoptysis did not disappear, and AF was not controlled. We performed left lung lobectomy and maze procedures since we considered surgical removal necessary as radical treatment. After the surgery, hemoptysis and atrial fibrillation did not recur. Refractory hemoptysis after catheter ablation is rare, but occasionally occurs in patients with severe pulmonary vein stenosis.

• Authors: Shuichiro Matsumoto, Manabu Suzuki, Sachi Matsubayashi, Akinari Tsukada, Yusaku Kusaba, Takashi Katsuno, Motoyasu Iikura, Shinyu Izumi, Yuichiro Takeda, Masayuki Hojo, Haruhito Sugiyama
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 60 Issue 20 Pg. 3279-3284 ( 2021) ISSN: 1349-7235 [Electronic] Japan
• PMID: 34657907 (Publication Type: Case Reports, Journal Article)

Topics

• Atrial Fibrillation (complications, surgery)
• Catheter Ablation
• Hemoptysis (etiology)
• Humans
• Male
• Middle Aged
• Pulmonary Veins (diagnostic imaging, surgery)
• Stenosis, Pulmonary Vein (diagnostic imaging, etiology, surgery)