Successful stenting of left pulmonary veins stenosis resulting from fibrosing mediastinitis:

Unger, Philippe; Stoupel, Eric; Briki, Rachid; Ninane, Vincent

doi:10.1093/eurheartj/ehu511

Cited by 3 publications

(3 citation statements)

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“…A total of 584 articles on FM were retrieved. Eight studies, including two retrospective studies (15,22) and six case reports (7,(23)(24)(25)(26)(27), were analyzed. Only the information on the PV was extracted from these articles.…”

Section: Resultsmentioning

confidence: 99%

“…In the study with the largest sample size (15), the patients had stenosis in PAs, PVs, and SVC, the mortality of the patients received PV interventions was unknown. Of the 31 patients receiving catheter-based treatments for PVS (7,15,(22)(23)(24)(25)(26)(27), 15 had detailed information (7,(22)(23)(24)(25)(26)(27). Among these 15 patients, 7 died (22)(23)(24)27).…”

Section: Mortalitymentioning

confidence: 99%

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Balloon angioplasty or stent implantation for pulmonary vein stenosis caused by fibrosing mediastinitis: a systematic review

Duan

Zhou

et al. 2019

Cardiovasc. Diagn. Ther.

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Fibrosing mediastinitis (FM) is a very rare disease, often caused by histoplasmosis capsulatum, tuberculosis, sarcoidosis, autoimmunity and other diseases, such as IgG 4-related diseases. Fibrous structures in the mediastinum compress the pulmonary artery, pulmonary vein, superior vena cava, esophagus, trachea and cardiac vessels, leading to clinical symptoms. Drug therapeutic modality for pulmonary vein stenosis (PVS) caused by FM is palliative in essence and with limited efficacy, whereas surgical treatment causes high mortality. In recent years, catheter-based treatment to FM-caused PVS has emerged as a promising therapeutic modality, however, the safety and effectiveness of this modality remain unclear. Therefore, a systematic review on the safety and efficacy of the catheter-based treatment for PVS caused by FM was performed, in the hope to shed lights on the alternative therapeutic strategy to this fatal disease.

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Section: Resultsmentioning

confidence: 99%

Section: Mortalitymentioning

confidence: 99%

Balloon angioplasty or stent implantation for pulmonary vein stenosis caused by fibrosing mediastinitis: a systematic review

Duan

Zhou

et al. 2019

Cardiovasc. Diagn. Ther.

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“… 27 – 29 Although such treatment has emerged as a promising therapeutic modality, the relevant evidence is restricted to case series and retrospective studies with small samples sizes. 29 – 33 The success of hemodynamic and angiographic improvement is temporary, and the long-term prognosis is inconsistent. 32 , 33 Restenosis appears to be the most common complication related to interventional treatment of FM-induced PVS and PAS, followed by hemoptysis.…”

Section: Discussionmentioning

confidence: 99%

Refractory pleural effusion as a rare complication of pulmonary vascular stenosis induced by fibrosing mediastinitis: a case report and literature review

Yang

Wang

et al. 2021

J Int Med Res

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Fibrosing mediastinitis (FM) is a progressive, life-threatening disease characterized by extrinsic compression of mediastinal bronchovascular structures, and the clinical manifestations largely depend upon the affected structures. Pleural effusion is rarely reported in patients with FM. We herein describe a 70-year-old man who presented with recurrent breathlessness and refractory left pleural effusion. He was misdiagnosed with and treated for tuberculous pleurisy for several months. Thoracentesis revealed a transudative pleural effusion, and a contrast-enhanced computed tomography scan of the thorax showed an extensive mediastinal soft tissue mass consistent with FM. Pulmonary angiography demonstrated pulmonary artery stenosis on the right side and pulmonary vein stenosis mainly on the left side. After measurement of the pulmonary arterial pressure by right heart catheterization, the patient was diagnosed with pulmonary hypertension associated with FM. He underwent balloon angioplasty and stent implantation of the stenosed pulmonary vessels, which led to long-term improvement in his breathlessness and pleural effusion. Our systematic review of the literature highlights that pleural effusion can be an uncommon complication of FM and requires careful etiological differentiation.

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Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review

Westhoff

Hardebusch

Litterst

et al. 2023

Front. Cardiovasc. Med.

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A 58-year-old patient was admitted to the emergency department due to severe respiratory insufficiency. Anamnesis revealed that the patient had experienced increasing stress dyspnea for a few months. Upon imaging, an acute pulmonary embolism was excluded, but peribronchial and hilar soft tissue proliferation with compression of central parts of the pulmonary circulation was found. The patient had a history of silicosis. The histology report showed tumor-free lymph node particles with prominent anthracotic pigment and dust depositions without evidence of IgG4-associated disease. The patient was administered steroid therapy and underwent simultaneous stenting of the left interlobular pulmonary artery and the upper right pulmonary vein. As a result, a significant improvement in symptoms and physical performance was achieved. The diagnosis of inflammatory or, in particular, fibrosing mediastinal processes can be challenging and important clinical symptoms must be taken into account, especially if the pulmonary vasculature is involved. In such cases, the possibility of interventional procedures should be examined in addition to drug therapy options.

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Successful stenting of left pulmonary veins stenosis resulting from fibrosing mediastinitis:

Cited by 3 publications

References 0 publications

Balloon angioplasty or stent implantation for pulmonary vein stenosis caused by fibrosing mediastinitis: a systematic review

Balloon angioplasty or stent implantation for pulmonary vein stenosis caused by fibrosing mediastinitis: a systematic review

Refractory pleural effusion as a rare complication of pulmonary vascular stenosis induced by fibrosing mediastinitis: a case report and literature review

Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review

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