September 18, 2021Catheterization and Cardiovascular Interventions
The hemodynamic spectrum of pulmonary vein stenosis from fibrosing mediastinitis
Key result
Stenting of both upper pulmonary veins in a patient with pulmonary vein stenosis from fibrosing mediastinitis resulted in a substantial reduction in pulmonary arterial pressure and improved symptoms.
Population
A 63-year-old man presenting with hemoptysis, progressive dyspnea, and fibrosing mediastinitis
Comparison
Stenting of both upper pulmonary veins
Design
Case report
Authors
Discussion
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Implication
May support pulmonary vein stenting for fibrosing mediastinitis–related PH; hypothesis-generating and requires prospective confirmation.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A 63-year-old man presenting with hemoptysis and progressive dyspnea diagnosed with pulmonary vein stenosis from fibrosing mediastinitis.
I
Intervention
Stenting of both upper pulmonary veins.
O
Outcome
Reduction in pulmonary arterial pressure, improvement in subjective dyspnea, cardiac output reserve, mechanical efficiency, and ventilatory efficiency, and normalization of right upper pulmonary capillary wedge pressure.surrogate
Stenting of pulmonary veins can successfully treat pulmonary hypertension secondary to pulmonary vein stenosis from fibrosing mediastinitis, improving both hemodynamics and symptoms.
Cite This Study
Ingraham et al. (2021) conducted a case report in Pulmonary vein stenosis from fibrosing mediastinitis (n=1). Stenting of upper pulmonary veins was evaluated on Hemodynamic and symptomatic improvement. Stenting of both upper pulmonary veins in a patient with pulmonary vein stenosis from fibrosing mediastinitis resulted in a substantial reduction in pulmonary arterial pressure and improved symptoms.