Chronic Total Occlusion Techniques to Recanalize an Occluded Pulmonary Vein After Atrial Fibrillation Ablation

J Invasive Cardiol. 2023 Apr;35(4):E223-E224. doi: 10.25270/jic/22.00271.

Abstract

Cardiac computed tomography (CT) scan was performed in a 69-year-old male with atrial fibrillation radiofrequency ablation who was admitted for transcatheter angioplasty of left inferior pulmonary vein (LIPV) stenosis due to recurrent hemoptysis. CT showed complete ostial occlusion in the area of the LIPV. Occlusion of the pulmonary vein ostium is a rare complication. We describe the successful use of chronic occlusion techniques in the treatment of this patient.

Keywords: chronic total occlusion; left inferior pulmonary vein.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty / adverse effects
  • Atrial Fibrillation* / complications
  • Atrial Fibrillation* / diagnosis
  • Atrial Fibrillation* / surgery
  • Catheter Ablation* / adverse effects
  • Constriction, Pathologic / diagnosis
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / surgery
  • Humans
  • Male
  • Pulmonary Veins* / diagnostic imaging
  • Pulmonary Veins* / surgery
  • Vascular Diseases* / surgery