Pulmonary Vein Stenosis after Catheter Ablation of Atrial Fibrillation: clinical presentation as a Lung cancer. Case report

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Pulmonary vein stenosis is an infrequent complication of catheter ablation of atrial fibrillation. Its incidence varies widely from 0.3% to 6% according to different publications.  The clinical presentation raises suspicion of more common pathologies. We present a case of pulmonary vein ste...

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Autores principales: Castro, Horacio Matias, Wainstein, Esteban Javier
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018
Materias:
pulmonary vein stenosis
hemoptysis
atrial fibrillation
positron emission tomography
Estenosis de vena pulmonar
hemoptisis
fibrilación atrial
tomografía de emisión de positrones.
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/17934
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Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10-article-17934
record_format ojs
spelling I10-R10-article-179342020-02-26T20:50:42Z Pulmonary Vein Stenosis after Catheter Ablation of Atrial Fibrillation: clinical presentation as a Lung cancer. Case report Estenosis de las venas Pulmonares post ablación de fibrilación auricular: presentación clínica similar a una neoplasia pulmonar. Reporte de caso Castro, Horacio Matias Wainstein, Esteban Javier pulmonary vein stenosis hemoptysis atrial fibrillation positron emission tomography Estenosis de vena pulmonar hemoptisis fibrilación atrial tomografía de emisión de positrones. Pulmonary vein stenosis is an infrequent complication of catheter ablation of atrial fibrillation. Its incidence varies widely from 0.3% to 6% according to different publications.  The clinical presentation raises suspicion of more common pathologies. We present a case of pulmonary vein stenosis following catheter ablation of atrial fibrillation that resembled -clinically and on radiology- a lung neoplasm. We report a case of a 57-years-old male current smoker who developed pulmonary vein stenosis following catheter ablation of atrial fibrillation. The clinical (cough and hemoptysis), radiological (Positron-Emission Tomography positive pulmonary nodules) and bronchoscopy (edematous mucosa) were consistent with a lung neoplasm. Although previous cases of pulmonary vein stenosis resembling lung cancer have been published, we are unaware of previous description of pulmonary vein stenosis as cause of Positron-Emission Tomography positive pulmonary nodules. The case highlights the importance of considering pulmonary vein stenosis as a cause of cough, dyspnea and hemoptysis in patient with previous catheter ablation of atrial fibrillation in order to prevent unnecessary -often invasive- studies. La estenosis de las venas pulmonares es una complicación infrecuente de la ablación por radiofrecuencia de la fibrilación auricular.  Su incidencia oscila entre 0.3% a 6% de acuerdo a diferentes series.  Sus manifestaciones clínicas son variadas y fácilmente confundibles con enfermedades pulmonares frecuentes, como neoplasias o infecciones.   Presentamos el caso de un varón de 57 años con estenosis de venas pulmonares post ablación de una fibrilación auricular que se manifestó clínica (tos y hemoptisis), radiológica (nódulos pulmonares con captación aumentada en la tomografía por Emisión de Positrones) y endoscópicamente (mucosa congestiva y friable) en forma similar a una neoplasia de pulmón. Si bien casos de presentación similar a cáncer han sido descritos, no tenemos conocimiento de estenosis de venas pulmonares como causa de nódulos pulmonares hipercaptantes. El caso resalta la importancia de considerar la estenosis de venas pulmonares como causa de tos, disnea o hemoptisis en pacientes que hayan sido sometidos a una ablación por radiofrecuencia de arritmias auriculares.  Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018-12-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf image/tiff image/gif image/tiff application/vnd.openxmlformats-officedocument.wordprocessingml.document https://revistas.unc.edu.ar/index.php/med/article/view/17934 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 75 No. 4 (2018); 288-291 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 75 Núm. 4 (2018); 288-291 Revista da Faculdade de Ciências Médicas de Córdoba; v. 75 n. 4 (2018); 288-291 1853-0605 0014-6722 10.31053/1853.0605.v75.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/17934/21696 https://revistas.unc.edu.ar/index.php/med/article/view/17934/22538 https://revistas.unc.edu.ar/index.php/med/article/view/17934/26654 https://revistas.unc.edu.ar/index.php/med/article/view/17934/26655 https://revistas.unc.edu.ar/index.php/med/article/view/17934/26656 https://revistas.unc.edu.ar/index.php/med/article/view/17934/26696 Derechos de autor 2018 Universidad Nacional de Córdoba
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic pulmonary vein stenosis
hemoptysis
atrial fibrillation
positron emission tomography
Estenosis de vena pulmonar
hemoptisis
fibrilación atrial
tomografía de emisión de positrones.
spellingShingle pulmonary vein stenosis
hemoptysis
atrial fibrillation
positron emission tomography
Estenosis de vena pulmonar
hemoptisis
fibrilación atrial
tomografía de emisión de positrones.
Castro, Horacio Matias
Wainstein, Esteban Javier
Pulmonary Vein Stenosis after Catheter Ablation of Atrial Fibrillation: clinical presentation as a Lung cancer. Case report
topic_facet pulmonary vein stenosis
hemoptysis
atrial fibrillation
positron emission tomography
Estenosis de vena pulmonar
hemoptisis
fibrilación atrial
tomografía de emisión de positrones.
author Castro, Horacio Matias
Wainstein, Esteban Javier
author_facet Castro, Horacio Matias
Wainstein, Esteban Javier
author_sort Castro, Horacio Matias
title Pulmonary Vein Stenosis after Catheter Ablation of Atrial Fibrillation: clinical presentation as a Lung cancer. Case report
title_short Pulmonary Vein Stenosis after Catheter Ablation of Atrial Fibrillation: clinical presentation as a Lung cancer. Case report
title_full Pulmonary Vein Stenosis after Catheter Ablation of Atrial Fibrillation: clinical presentation as a Lung cancer. Case report
title_fullStr Pulmonary Vein Stenosis after Catheter Ablation of Atrial Fibrillation: clinical presentation as a Lung cancer. Case report
title_full_unstemmed Pulmonary Vein Stenosis after Catheter Ablation of Atrial Fibrillation: clinical presentation as a Lung cancer. Case report
title_sort pulmonary vein stenosis after catheter ablation of atrial fibrillation: clinical presentation as a lung cancer. case report
description Pulmonary vein stenosis is an infrequent complication of catheter ablation of atrial fibrillation. Its incidence varies widely from 0.3% to 6% according to different publications.  The clinical presentation raises suspicion of more common pathologies. We present a case of pulmonary vein stenosis following catheter ablation of atrial fibrillation that resembled -clinically and on radiology- a lung neoplasm. We report a case of a 57-years-old male current smoker who developed pulmonary vein stenosis following catheter ablation of atrial fibrillation. The clinical (cough and hemoptysis), radiological (Positron-Emission Tomography positive pulmonary nodules) and bronchoscopy (edematous mucosa) were consistent with a lung neoplasm. Although previous cases of pulmonary vein stenosis resembling lung cancer have been published, we are unaware of previous description of pulmonary vein stenosis as cause of Positron-Emission Tomography positive pulmonary nodules. The case highlights the importance of considering pulmonary vein stenosis as a cause of cough, dyspnea and hemoptysis in patient with previous catheter ablation of atrial fibrillation in order to prevent unnecessary -often invasive- studies.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2018
url https://revistas.unc.edu.ar/index.php/med/article/view/17934
work_keys_str_mv AT castrohoraciomatias pulmonaryveinstenosisaftercatheterablationofatrialfibrillationclinicalpresentationasalungcancercasereport
AT wainsteinestebanjavier pulmonaryveinstenosisaftercatheterablationofatrialfibrillationclinicalpresentationasalungcancercasereport
AT castrohoraciomatias estenosisdelasvenaspulmonarespostablaciondefibrilacionauricularpresentacionclinicasimilaraunaneoplasiapulmonarreportedecaso
AT wainsteinestebanjavier estenosisdelasvenaspulmonarespostablaciondefibrilacionauricularpresentacionclinicasimilaraunaneoplasiapulmonarreportedecaso
first_indexed 2022-08-20T01:25:00Z
last_indexed 2022-08-20T01:25:00Z
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