P1663 Transoesophageal echocardiography and angio-RMN evaluation of pulmonary veins in patients underwent ostial radiofrequency catheter ablation of atrial fibrillation

2003 ◽  
Vol 24 (5) ◽  
pp. 311
Author(s):  
P PIOVESANA
Circulation ◽  
1999 ◽  
Vol 100 (22) ◽  
pp. 2237-2243 ◽  
Author(s):  
Ming-Hsiung Hsieh ◽  
Chuen-Wang Chiou ◽  
Zu-Chi Wen ◽  
Chieh-Hung Wu ◽  
Ching-Tai Tai ◽  
...  

2018 ◽  
Vol 88 (1) ◽  
Author(s):  
Berardo Sarubbi ◽  
Gaetano Rea ◽  
Giuseppe Santoro ◽  
Enrico Melillo ◽  
Giancarlo Scognamiglio ◽  
...  

One of the major complications of radiofrequency catheter ablation (RFCA) for atrial fibrillation (AF) is pulmonary vein stenosis (PVS). The natural history of PVS, especially when it involves more than one vein, leads to severe and irreversible pulmonary hypertension with end-stage right heart failure that can require, in extreme cases, even heart-lung transplantation. We report the case of a young patient who underwent RFCA for a single lasting episode of AF and developed PVS years later. He was treated with ballon venoplasty followed by stent implantation in left pulmonary vein because of PVS relief. This reported case emphasizes the need of an adequate indication for RFCA for AF, considering the benefit-risk ratio especially in young patients with normal cardiac function.


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