Percutaneous Pulmonary Vein Stenting to Treat Severe Pulmonary Vein Stenosis After Surgical Reconstruction

Abstract

A 36-year-old female underwent left lower lobectomy with left atrial and left upper pulmonary vein (LUPV) reconstruction with a bovine pericardial patch for an intrathoracic pheochromocytoma. Postoperatively, she developed shortness of breath and transesophageal echocardiography demonstrated LUPV stenosis with increased velocities. Computed tomography angiogram of the chest revealed LUPV stenosis at the left atrium ostium with an area of 39 mm². Under angiographic and echocardiographic guidance, a 10 × 19 mm Omnilink Elite uncovered stent was deployed in the LUPV ostia. While reported following left atrial ablation, pulmonary vein stenting can be successful in a pulmonary vein surgically reconstructed with bovine pericardium.

Keywords

pulmonary vein stenosis endovascular percutaneous stent

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References

Prieto

LR.

Schoenhagen

Arruda

et al. Comparison of stent versus balloon angioplasty for pulmonary vein stenosis complicating pulmonary vein isolation. J Cardiovasc Electrophysiol 2008; 19: 673–678.doi:10.1111/j.1540-8167.2008.01110.x

http://www.ncbi.nlm.nih.gov/pubmed/18284494

De Potter

Silva Garcia

Beelen

et al. Successful percutaneous stenting of severe radiofrequency-induced pulmonary vein stenosis in 3 veins post-failed surgical correction. JACC Cardiovasc Interv 2017; 10: e17–e19.doi:10.1016/j.jcin.2016.11.013

http://www.ncbi.nlm.nih.gov/pubmed/28109876

Buiatti

von Olshausen

Martens

et al. Balloon angioplasty versus stenting for pulmonary vein stenosis after pulmonary vein isolation for atrial fibrillation: a meta-analysis. Int J Cardiol 2018; 254: 146–150.doi:10.1016/j.ijcard.2017.11.100

http://www.ncbi.nlm.nih.gov/pubmed/29273240

Qureshi

AM.

Prieto

LR.

Latson

et al. Transcatheter angioplasty for acquired pulmonary vein stenosis after radiofrequency ablation. Circulation 2003; 108: 1336–1342.doi:10.1161/01.CIR.0000086322.21781.6A

http://www.ncbi.nlm.nih.gov/pubmed/12952852

Balasubramanian

Marshall

AC.

Gauvreau

et al. Outcomes after stent implantation for the treatment of congenital and postoperative pulmonary vein stenosis in children. Circ Cardiovasc Interv 2012; 5: 109–117.doi:10.1161/CIRCINTERVENTIONS.111.964189

http://www.ncbi.nlm.nih.gov/pubmed/22253356

Fender

EA.

Widmer

RJ.

Hodge

et al. Severe pulmonary vein stenosis resulting from ablation for atrial fibrillation: presentation, management, and clinical outcomes. Circulation 2016; 134: 1812–1821.doi:10.1161/CIRCULATIONAHA.116.021949

http://www.ncbi.nlm.nih.gov/pubmed/27793993

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