Staged surgical repair of severe pulmonary stenosis post radiofrequency ablation.

Autor: Murray LW; Department of Cardiothoracic Surgery, Flinders Medical Centre, Adelaide, SA, Australia., Gopal R; Department of Cardiothoracic Surgery, Flinders Medical Centre, Adelaide, SA, Australia., Gimpel D; Department of Cardiothoracic Surgery, Flinders Medical Centre, Adelaide, SA, Australia., Szpytma MM; Department of Cardiothoracic Surgery, Flinders Medical Centre, Adelaide, SA, Australia., Crouch G; Department of Cardiothoracic Surgery, Flinders Medical Centre, Adelaide, SA, Australia.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2022 Sep 05; Vol. 2022 (9), pp. rjac390. Date of Electronic Publication: 2022 Sep 05 (Print Publication: 2022).
DOI: 10.1093/jscr/rjac390
Abstrakt: 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.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022.)
Databáze: MEDLINE
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