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Staged surgical repair of severe pulmonary stenosis post radiofrequency ablation

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....

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Detalles Bibliográficos
Autores principales: Murray, Lewis William, Gopal, Rakesh, Gimpel, Damian, Szpytma, Malgorzata (Maggie), Crouch, Gareth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444288/
https://www.ncbi.nlm.nih.gov/pubmed/36071729
http://dx.doi.org/10.1093/jscr/rjac390
Descripción
Sumario: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.