Hemoptysis and lung disease as a manifestation of pulmonary vein stenosis after cryoballoon catheter ablation for atrial fibrillation

Kasper, Łukasz; Gross‐Sondej, Iwona; Machalica, Beata; Soja, Jerzy; Pawlik, Wiesław W.; Sładek, Krzysztof

doi:10.20452/pamw.3278

Cited by 3 publications

(3 citation statements)

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“…There was 1 report of hemoptysis that occurred 3 months after the procedure; this case suggested an association between PV stenosis and hemoptysis. 8 Our case also suggested an association between severe stenosis and occlusion of the PVs.…”

Section: Discussionsupporting

confidence: 58%

Hemoptysis after five months of cryoballoon ablation: What is the relationship?

Watanabe

Nitta

Satô

et al. 2017

HeartRhythm Case Reports

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Section: Discussionsupporting

confidence: 58%

Hemoptysis after five months of cryoballoon ablation: What is the relationship?

Watanabe

Nitta

Satô

et al. 2017

HeartRhythm Case Reports

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“…In the acute phase, hemoptysis occurs soon after ablation due to direct injury of the bronchus by the balloon, and most of these cases improve spontaneously or by stopping the anticoagulant. Hemoptysis in the chronic phase after ablation is caused by stagnation of the pulmonary circulation following PVS and abnormal development of the bronchial artery (15,17). Accordingly, our patient had late hemoptysis, and evidence of PVS was also observed on CT.…”

Section: Discussionmentioning

confidence: 64%

Refractory Hemoptysis Caused by Severe Pulmonary Vein Stenosis after Multiple Catheter Ablations

et al. 2021

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We herein report a 48-year-old man with a history of chronic atrial fibrillation (AF) and repeated hemoptysis after radiofrequency ablation. Contrast tomography showed soft tissue thickening of the left hilar region and left pulmonary vein stenosis. We performed bronchial artery embolization, but the hemoptysis did not disappear, and AF was not controlled. We performed left lung lobectomy and maze procedures since we considered surgical removal necessary as radical treatment. After the surgery, hemoptysis and atrial fibrillation did not recur. Refractory hemoptysis after catheter ablation is rare, but occasionally occurs in patients with severe pulmonary vein stenosis.

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“…Meanwhile, it might be wise to limit the number of occlusions, or to shorten the occlusion time to a minimal duration (9) . But mechanisms leading to complications have not been studied in details and the underlying mechanism, onset and severity were different in clinical trials as we can see from previous experience (18)(19)(20)(21) . Below are several important studies who reported hemoptysis after cryoballoon ablation of AF.…”

Section: Discussionmentioning

confidence: 99%