Pulmonary Vein Stenosis after Catheter Ablation of Atrial Fibrillation: clinical presentation as a Lung cancer. Case report
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...
Guardado en:
| Autores principales: | , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2018
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/17934 |
| Aporte de: |
| Sumario: | 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. |
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