Pulmonary venous thrombosis secondary to radiofrequency ablation of the pulmonary veins
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.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2018 |
|---|---|
| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
|---|---|
| Enthalten in: |
Respiratory medicine case reports - 23(2018) vom: 17., Seite 46-48 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
López-Reyes, Raquel [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Atrial fibrilation |
|---|
| Anmerkungen: |
Date Revised 31.03.2022 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.1016/j.rmcr.2017.11.008 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM279200226 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM279200226 | ||
| 003 | DE-627 | ||
| 005 | 20231225022421.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2018 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.rmcr.2017.11.008 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0930.xml |
| 035 | |a (DE-627)NLM279200226 | ||
| 035 | |a (NLM)29255670 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a López-Reyes, Raquel |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Pulmonary venous thrombosis secondary to radiofrequency ablation of the pulmonary veins |
| 264 | 1 | |c 2018 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 31.03.2022 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Atrial fibrilation | |
| 650 | 4 | |a Hemoptysis | |
| 650 | 4 | |a Lung consolidation | |
| 650 | 4 | |a Lung infarction | |
| 650 | 4 | |a Lung resection surgery | |
| 650 | 4 | |a Radiofrequency ablation | |
| 650 | 4 | |a Venous thrombosis | |
| 700 | 1 | |a García-Ortega, Alberto |e verfasserin |4 aut | |
| 700 | 1 | |a Torrents, Ana |e verfasserin |4 aut | |
| 700 | 1 | |a Feced, Laura |e verfasserin |4 aut | |
| 700 | 1 | |a Calvillo, Pilar |e verfasserin |4 aut | |
| 700 | 1 | |a Libreros-Niño, Eugenia Alejandra |e verfasserin |4 aut | |
| 700 | 1 | |a Escrivá-Peiró, Juan |e verfasserin |4 aut | |
| 700 | 1 | |a Nauffal, Dolores |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Respiratory medicine case reports |d 2012 |g 23(2018) vom: 17., Seite 46-48 |w (DE-627)NLM249522950 |x 2213-0071 |7 nnns |
| 773 | 1 | 8 | |g volume:23 |g year:2018 |g day:17 |g pages:46-48 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.rmcr.2017.11.008 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 23 |j 2018 |b 17 |h 46-48 | ||