Pulmonary veins stenosis after catheter ablation of atrial fibrillation as the cause of haemoptysis: three cases and a literature review

作者：Zhang, Guoxin; Yu, Hu; Chen, Liangan; Li, Yuechuan; Liang, Zhixin^*

来源：Clinical Respiratory Journal, 2018, 12(1): 3-9.

DOI：10.1111/crj.12501

• atrial fibrillation
• catheter ablation
• dyspnoea
• haemoptysis
• pulmonary vein stenosis

Background: Haemoptysis is a common clinical symptom with a complicated aetiology. Patients usually visit pulmonologists initially and are misdiagnosed due to physician ignorance regarding the rare causes of haemoptysis. @@@ Methods: We report three cases of haemoptysis due to pulmonary vein stenosis accompanied by catheter ablation for atrial fibrillation and review the related literature. @@@ Results: The three patients presented haemoptysis and they all had the history of catheter ablation. They received kinds of non-invasive and invasive diagnostic and therapeutic procedures. Finally they were confirmed to have pulmonary vein stenosis by either pulmonary angiography or thorax computed tomography three-dimensional reconstructions. @@@ Conclusions: Haemoptysis could be caused by pulmonary vein stenosis secondary to catheter ablation for atrial fibrillation. Doctors should be aware of this rare aetiology.

• 出版日期2018-1
• 单位天津市胸科医院; 中国人民解放军总医院; 天津医科大学