Key result
Modified sutureless repair provides a safe and feasible treatment for severe post-ablation left PV obstruction.
Case Report (n=1)
A modified sutureless repair is a feasible and effective surgical option for severe pulmonary vein obstruction following catheter ablation for atrial fibrillation.
May offer a surgical option for refractory post-ablation pulmonary vein obstruction; leaves open need for prospective validation before wider use.
A 52-year-old man presented with temporal haemoptysis and chest pain 6 months after radiofrequency catheter ablation for atrial fibrillation. Computed tomography revealed severe stenosis in the left upper pulmonary vein (PV) and complete occlusion of the left lower PV. A modified sutureless repair of the left PV obstruction was successfully performed. This modified procedure provides a feasible, safe and effective means of treating PV obstruction, even in cases with distal extension of stenosis.
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Matsuyama et al. (2022) conducted a case report in Left pulmonary vein obstruction after catheter ablation for atrial fibrillation (n=1). Modified sutureless repair was evaluated on Feasibility, safety, and effectiveness of treating PV obstruction. A modified sutureless repair was successfully performed to treat severe left pulmonary vein obstruction following catheter ablation, providing a feasible, safe, and effective treatment.
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