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

Shuichiro Matsumoto; Manabu Suzuki; Sachi Matsubayashi; Akinari Tsukada; Yusaku Kusaba; Takashi Katsuno; Motoyasu Iikura; Shinyu Izumi; Yuichiro Takeda; Masayuki Hojo; Haruhito Sugiyama

doi:10.2169/internalmedicine.6513-20

CASE REPORTS

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

Shuichiro Matsumoto, Manabu Suzuki, Sachi Matsubayashi, Akinari Tsukada, Yusaku Kusaba, Takashi Katsuno, Motoyasu Iikura, Shinyu Izumi, Yuichiro Takeda, Masayuki Hojo, Haruhito Sugiyama

Author information

Shuichiro Matsumoto
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
Manabu Suzuki
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
Sachi Matsubayashi
Division of Respiratory Medicine, Department of Internal Medicine, The Jikei University School of Medicine, Japan
Akinari Tsukada
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
Yusaku Kusaba
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
Takashi Katsuno
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
Motoyasu Iikura
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
Shinyu Izumi
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
Yuichiro Takeda
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
Masayuki Hojo
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
Haruhito Sugiyama
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan

Keywords: hemoptysis, bronchial artery embolization, atrial fibrillation, pulmonary vein stenosis, maze procedure

JOURNAL OPEN ACCESS

2021 Volume 60 Issue 20 Pages 3279-3284

DOI https://doi.org/10.2169/internalmedicine.6513-20

Details

Abstract

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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