Pulmonary venous thrombosis secondary to radiofrequency ablation of the pulmonary veins
| Autor: | Laura Feced, Pilar Calvillo, Dolores Nauffal, Eugenia Alejandra Libreros-Niño, Alberto García-Ortega, Ana Torrents, Juan Escrivá-Peiró, Raquel López-Reyes |
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| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
Lung infarction medicine.medical_specialty Hemoptysis Radiofrequency ablation medicine.medical_treatment Case Report 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine law Venous thrombosis medicine Lung transplantation Pulmonary vein stenosis Vein Lung resection surgery Computed tomography angiography lcsh:RC705-779 medicine.diagnostic_test business.industry Atrial fibrillation Atrial fibrilation lcsh:Diseases of the respiratory system medicine.disease Lung consolidation medicine.anatomical_structure 030228 respiratory system Radiology business |
| Zdroj: | Respiratory Medicine Case Reports r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname Respiratory Medicine Case Reports, Vol 23, Iss, Pp 46-48 (2018) |
| ISSN: | 2213-0071 |
| Popis: | Background: Pulmonary Vein Thrombosis (PVT) is a rare and underdiagnosed entity produced by local mechanical nature mechanisms, vascular torsion or direct injury to the vein. PVT has been described in clinical cases or small multicenter series mainly in relation to pulmonary vein stenosis, metastatic carcinoma, fibrosing mediastinitis, as an early surgical complication of lung transplantation lobectomy and radiofrequency ablation performed in patients with atrial fibrillation, although in some cases the cause is not known. Case: We report the case of a 57 years old male with history of atrial fibrillation treated by radiofrequency ablation who was admitted in our center because of a two-week history of consistent pleuritic pain in the left hemithorax and low-grade hemoptysis and a lung consolidation treated as a pneumonia with antibiotic but not responding to medical therapy. In view of the poor evolution of the patient, computed tomography angiography was performed with findings of PVT and secondary venous infarction and anticoagulation therapy was optimized. At the end, pulmonary resection was performed due to hemorrhagic recurrence. Conclusion: PVT remains a rare complication of radiofrequency ablation and other procedures involving pulmonary veins. Clinical suspicion and early diagnosis is crucial because is a potentially life-threatening entity. Keywords: Venous thrombosis, Atrial fibrilation, Radiofrequency ablation, Hemoptysis, Lung consolidation, Lung infarction, Lung resection surgery |
| Databáze: | OpenAIRE |
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