Severe pulmonary vein stenosis should be considered in patients presenting with haemoptysis after catheter ablation for atrial fibrillation, and can be successfully treated with a drug-eluting stent.
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Raises awareness for pulmonary vein stenosis in post-ablation hemoptysis; leaves open need for larger studies on DES durability.
A pulmonary vein stenosis is a known adverse event of catheter ablation in atrial fibrillation. However, it should be considered due to high frequency of such procedures. Haemoptysis, a symptom of severe stenosis, is often misdiagnosed as other different diseases. We present a case report of a 52-year-old patient with recurrent haemoptysis, dyspnoea, and fatigue, which turned out to be complication after catheter ablation. Successful treatment with drug-eluting stent (DES) was implemented with vast clinical improvement and follow-up.
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Romantowski et al. (2017) studied this question.
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