Asymptomatic Pulmonary Vein Stenosis: Hemodynamic Adaptation and Successful Ablation
Pulmonary vein stenosis is a well-established possible complication following an atrial fibrillation ablation of pulmonary veins. Symptoms of pulmonary vein stenosis range from asymptomatic to severe exertional dyspnea. The number of asymptomatic patients with pulmonary vein stenosis is greater than...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2016/4979182 |
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| _version_ | 1832553372248440832 |
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| author | John J. Lee Denis Weinberg Rishi Anand |
| author_facet | John J. Lee Denis Weinberg Rishi Anand |
| author_sort | John J. Lee |
| collection | DOAJ |
| description | Pulmonary vein stenosis is a well-established possible complication following an atrial fibrillation ablation of pulmonary veins. Symptoms of pulmonary vein stenosis range from asymptomatic to severe exertional dyspnea. The number of asymptomatic patients with pulmonary vein stenosis is greater than originally estimated; moreover, only about 22% of severe pulmonary vein stenosis requires intervention. We present a patient with severe postatrial fibrillation (AF) ablation pulmonary vein (PV) stenosis, which was seen on multiple imaging modalities including cardiac computed tomography (CT) angiogram, lung perfusion scan, and pulmonary angiogram. This patient did not have any pulmonary symptoms. Hemodynamic changes within a stenosed pulmonary vein might not reflect the clinical severity of the obstruction if redistribution of pulmonary artery flow occurs. Our patient had an abnormal lung perfusion and ventilation (V/Q) scan, suggesting pulmonary artery blood flow redistribution. The patient ultimately underwent safe repeat atrial fibrillation ablation with successful elimination of arrhythmia. |
| format | Article |
| id | doaj-art-fca828e1ec514cd5a433226540a59093 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-fca828e1ec514cd5a433226540a590932025-02-03T05:54:16ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/49791824979182Asymptomatic Pulmonary Vein Stenosis: Hemodynamic Adaptation and Successful AblationJohn J. Lee0Denis Weinberg1Rishi Anand2University of Miami at Holy Cross Hospital, Fort Lauderdale, FL, USASouth Florida Multispecialty Associates, LLC, Miami Beach, FL, USAHoly Cross Hospital, Fort Lauderdale, FL, USAPulmonary vein stenosis is a well-established possible complication following an atrial fibrillation ablation of pulmonary veins. Symptoms of pulmonary vein stenosis range from asymptomatic to severe exertional dyspnea. The number of asymptomatic patients with pulmonary vein stenosis is greater than originally estimated; moreover, only about 22% of severe pulmonary vein stenosis requires intervention. We present a patient with severe postatrial fibrillation (AF) ablation pulmonary vein (PV) stenosis, which was seen on multiple imaging modalities including cardiac computed tomography (CT) angiogram, lung perfusion scan, and pulmonary angiogram. This patient did not have any pulmonary symptoms. Hemodynamic changes within a stenosed pulmonary vein might not reflect the clinical severity of the obstruction if redistribution of pulmonary artery flow occurs. Our patient had an abnormal lung perfusion and ventilation (V/Q) scan, suggesting pulmonary artery blood flow redistribution. The patient ultimately underwent safe repeat atrial fibrillation ablation with successful elimination of arrhythmia.http://dx.doi.org/10.1155/2016/4979182 |
| spellingShingle | John J. Lee Denis Weinberg Rishi Anand Asymptomatic Pulmonary Vein Stenosis: Hemodynamic Adaptation and Successful Ablation Case Reports in Cardiology |
| title | Asymptomatic Pulmonary Vein Stenosis: Hemodynamic Adaptation and Successful Ablation |
| title_full | Asymptomatic Pulmonary Vein Stenosis: Hemodynamic Adaptation and Successful Ablation |
| title_fullStr | Asymptomatic Pulmonary Vein Stenosis: Hemodynamic Adaptation and Successful Ablation |
| title_full_unstemmed | Asymptomatic Pulmonary Vein Stenosis: Hemodynamic Adaptation and Successful Ablation |
| title_short | Asymptomatic Pulmonary Vein Stenosis: Hemodynamic Adaptation and Successful Ablation |
| title_sort | asymptomatic pulmonary vein stenosis hemodynamic adaptation and successful ablation |
| url | http://dx.doi.org/10.1155/2016/4979182 |
| work_keys_str_mv | AT johnjlee asymptomaticpulmonaryveinstenosishemodynamicadaptationandsuccessfulablation AT denisweinberg asymptomaticpulmonaryveinstenosishemodynamicadaptationandsuccessfulablation AT rishianand asymptomaticpulmonaryveinstenosishemodynamicadaptationandsuccessfulablation |