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Pulmonary veins stenosis relief after an inappropriate radiofrequency catheter ablation of atrial fibrillation in a young non-competitive athlete

Berardo Sarubbi, Gaetano Rea, Giuseppe Santoro, Enrico Melillo, Giancarlo Scognamiglio, Maria Giovannna Russo
  • Gaetano Rea
    Monaldi Hospital Naples, Department of Radiology, Italy
  • Giuseppe Santoro
    Second University of Naples, Pediatric Cardiology Unit, Italy
  • Enrico Melillo
    Monaldi Hospital Naples, Adult Congenital Heart Disease Unit, Italy
  • Giancarlo Scognamiglio
    Monaldi Hospital Naples, Adult Congenital Heart Disease Unit, Italy
  • Maria Giovannna Russo
    Second University of Naples, Pediatric Cardiology Unit, Italy

Abstract

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.

Keywords

Atrial fibrillation; catheter ablation; pulmonary veins stenosis; angioplasty.

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Submitted: 2017-11-05 14:28:50
Published: 2018-03-09 14:37:42
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Copyright (c) 2018 Berardo Sarubbi, Gaetano Rea, Giuseppe Santoro, Enrico Melillo, Giancarlo Scognamiglio, Maria Giovannna Russo

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