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- W4296035377 abstract "A 59-year-old woman underwent pulmonary vein stenting for severe pulmonary vein stenosis (PVS) after atrial fibrillation ablation. Computed tomography angiography showed severe right PVS with a single pulmonary vein (PV) on each side of the left atrium, persistent left and absent right superior vena cava (Panel A). Under the guidance of intracardiac echocardiography (Biosense Webster, Inc.), the interatrial septum, patent foramen ovale (PFO), and significantly expanded ostium of coronary sinus were visualized. When the guide wire was initially advanced to the left atrium through the PFO, it was too high to reach the right PV (Panels B and C). Then, transseptal puncture was performed, and a steerable ablation catheter (APT Medical, China) was used to guide the transseptal sheath to the right pulmonary vein (RPV) (Panels D and E). RPV angiogram showed 70% diameter narrowing of the proximal PV with a maximum pressure gradient (PG) of 10 mmHg (Panel F). Balloon pre-dilatation was performed and the PG decreased to 5 mmHg (Panel G). A stent (9 × 20 mm) with adequate expansion and complete apposition was implanted (Panels H and I), consequently reducing the PG to 0 mmHg. The patient had a small amount of haemoptysis during PV dilation but recovered post-op." @default.
- W4296035377 created "2022-09-17" @default.
- W4296035377 creator A5070288393 @default.
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- W4296035377 date "2022-09-16" @default.
- W4296035377 modified "2023-09-28" @default.
- W4296035377 title "Pulmonary vein stenosis stenting in a patient with persistent left superior vena cava after atrial fibrillation ablation" @default.
- W4296035377 doi "https://doi.org/10.1093/eurheartj/ehac506" @default.
- W4296035377 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36109833" @default.
- W4296035377 hasPublicationYear "2022" @default.
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