Key result
Left upper lobectomy resolves complete pulmonary vein occlusion post-AF ablation in a single patient.
Case Report (n=1)
Lung resection may be more appropriate than revascularization for chronic complete pulmonary vein occlusion following catheter ablation for atrial fibrillation due to irreversible lung damage.
Lung resection may be preferable for chronic post-ablation pulmonary vein occlusion with irreversible damage; leaves open need for comparative studies.
A 64-year-old man complained of recurrent bloody sputum 6 months after catheter ablation for atrial fibrillation. Contrast-enhanced chest computed tomography revealed left upper pulmonary vein occlusion. Due to challenges in revascularization, lung resection was performed. Although extensive adhesions were observed around the pulmonary hilum and pleura, a left upper lobectomy was successfully performed using a video thoracoscopic approach. The patient had no postoperative complaints. Pathologic findings showed irreversible lung damage, including lung fibrosis and intimal thickening of pulmonary blood vessels. These results indicate that resection is more appropriate than revascularization at the chronic phase of complete pulmonary vein occlusion.
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Yamazaki et al. (2024) conducted a case report in Pulmonary vein occlusion after catheter ablation for atrial fibrillation (n=1). Left upper lobectomy was evaluated on Postoperative complaints. Left upper lobectomy successfully treated complete pulmonary vein occlusion 6 months after catheter ablation for atrial fibrillation in a 64-year-old man, resulting in no postoperative complaints.
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