Key result
Staged surgical resection successfully treats severe pulmonary stenosis and avoids left-sided pneumonectomy.
Why the study?
Severe pulmonary vein stenosis and occlusion can occur after radiofrequency ablation for atrial fibrillation, requiring effective surgical management strategies.
Case Report (n=1)
Staged surgical repair including lobectomy and anastomosis with the left atrial appendage can successfully treat severe pulmonary vein stenosis post-radiofrequency ablation without requiring pneumonectomy.
Answers are grounded in this paper and cite their sources.
Raises awareness for post-ablation pulmonary vein stenosis in symptomatic patients; case report leaves open optimal prevention and timing of intervention.
We present a case of a 68-year-old man who presents with worsening cough and dyspnoea 12 months after undergoing radiofrequency ablation therapy for atrial fibrillation. Investigation revealed complete occlusion of the left lower pulmonary vein and partial stenosis of the left upper pulmonary vein. He underwent a stage surgical resection with the first stage being a left lower lobectomy for the non-viable lobe followed by a repair of the left upper pulmonary vein via anastomosis with the left atrial appendage. This staged procedure yielded excellent results and avoided the need for a left-sided pneumonectomy.
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Murray et al. (2022) conducted a case report in Severe pulmonary stenosis post radiofrequency ablation for atrial fibrillation (n=1). Staged surgical resection (left lower lobectomy and repair of left upper pulmonary vein via anastomosis with left atrial appendage) was evaluated on Clinical outcome. Staged surgical resection, including a left lower lobectomy and repair of the left upper pulmonary vein, successfully treated severe pulmonary stenosis and avoided a left-sided pneumonectomy.
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