Abstract

MATESANZ LOPEZ, Cristina et al. Severe hemoptysis as a debut form of left pulmonary vein stenosis. Cardiovasc. metab. sci [online]. 2021, vol.32, n.1, pp.38-41.  Epub Mar 19, 2024. ISSN 2954-3835.  https://doi.org/10.35366/98229.

Atrial fibrillation is the most common arrhythmia. This pathology carries high healthcare cost and impairs the quality of life of the patients. Percutaneous pulmonary vein ablation is a consolidated therapy to treat it and several studies have shown that long-term recurrence and mortality is lower compared to those who are treated with antiarrhythmic medication. We present the case of a 48-year-old non-smoker man with a clinical history of a difficult-to-control incessant atrial tachycardia that presented to the emergency department with hemoptysis. The clinical picture was due to a complete occlusion of the distal segment of the left pulmonary veins as a complication of a previous percutaneous pulmonary vein ablation. Pulmonary vein stenosis is a rare complication of ablation for atrial fibrillation, being an early diagnosis esential to improve prognosis.

Keywords : Percutaneous ablation; atrial fibrillation; complications; hemoptysis; lung edema.

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