Preexisting pulmonary vein stenosis in patients undergoing atrial fibrillation ablation: A report of five cases

Wanwarang Wongcharoen; Hsuan Ming Tsao; Mei Han Wu; Ching Tai Tai; Shih Lin Chang; Yenn Jiang Lin; Cheng Yen Chang; Shih Ann Chen

doi:10.1111/j.1540-8167.2006.00301.x

Preexisting pulmonary vein stenosis in patients undergoing atrial fibrillation ablation: A report of five cases

Wanwarang Wongcharoen, Hsuan Ming Tsao^*, Mei Han Wu, Ching Tai Tai, Shih Lin Chang, Yenn Jiang Lin, Cheng Yen Chang, Shih Ann Chen

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Introduction: Acquired pulmonary vein (PV) stenosis is a well-known complication following catheter ablation of atrial fibrillation (AF). However, the details of congenital PV stenosis have not been reported in patients who underwent catheter ablation of AF. Methods and Results: A total of 178 patients (110 men, age: 54 ± 11 years) with drug-refractory AF received MRA or multidetector CT (MDCT) before ablation for delineation of PV morphologies. Five PVs in 5 patients (2.8%) showed at least 50% stenosis before ablation. We demonstrated two types of preexisting PV stenosis. Type I is the external compression of PV by the descending aorta, observed in LIPV of the three patients. Type II is the focal narrowing of PV, observed in RSPV of the two patients. Conclusion: Preexisting stenosis of PV may be a consequence of congenital focal narrowing or external compression by the adjacent structures. Detection of this condition by 3D CT or MRA before catheter ablation can provide information for planning of ablation strategy and prevent misdiagnosis of ablation-related PV stenosis.

Original language	English
Pages (from-to)	423-425
Number of pages	3
Journal	Journal of cardiovascular electrophysiology
Volume	17
Issue number	4
DOIs	https://doi.org/10.1111/j.1540-8167.2006.00301.x
State	Published - Apr 2006

Keywords

Atrial fibrillation
Computed tomography
Magnetic resonance angiography
Pulmonary vein
Stenosis

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title = "Preexisting pulmonary vein stenosis in patients undergoing atrial fibrillation ablation: A report of five cases",

abstract = "Introduction: Acquired pulmonary vein (PV) stenosis is a well-known complication following catheter ablation of atrial fibrillation (AF). However, the details of congenital PV stenosis have not been reported in patients who underwent catheter ablation of AF. Methods and Results: A total of 178 patients (110 men, age: 54 ± 11 years) with drug-refractory AF received MRA or multidetector CT (MDCT) before ablation for delineation of PV morphologies. Five PVs in 5 patients (2.8%) showed at least 50% stenosis before ablation. We demonstrated two types of preexisting PV stenosis. Type I is the external compression of PV by the descending aorta, observed in LIPV of the three patients. Type II is the focal narrowing of PV, observed in RSPV of the two patients. Conclusion: Preexisting stenosis of PV may be a consequence of congenital focal narrowing or external compression by the adjacent structures. Detection of this condition by 3D CT or MRA before catheter ablation can provide information for planning of ablation strategy and prevent misdiagnosis of ablation-related PV stenosis.",

keywords = "Atrial fibrillation, Computed tomography, Magnetic resonance angiography, Pulmonary vein, Stenosis",

author = "Wanwarang Wongcharoen and Tsao, {Hsuan Ming} and Wu, {Mei Han} and Tai, {Ching Tai} and Chang, {Shih Lin} and Lin, {Yenn Jiang} and Chang, {Cheng Yen} and Chen, {Shih Ann}",

year = "2006",

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doi = "10.1111/j.1540-8167.2006.00301.x",

language = "English",

volume = "17",

pages = "423--425",

journal = "Journal of cardiovascular electrophysiology",

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T1 - Preexisting pulmonary vein stenosis in patients undergoing atrial fibrillation ablation

T2 - A report of five cases

AU - Wongcharoen, Wanwarang

AU - Tsao, Hsuan Ming

AU - Wu, Mei Han

AU - Tai, Ching Tai

AU - Chang, Shih Lin

AU - Lin, Yenn Jiang

AU - Chang, Cheng Yen

AU - Chen, Shih Ann

PY - 2006/4

Y1 - 2006/4

N2 - Introduction: Acquired pulmonary vein (PV) stenosis is a well-known complication following catheter ablation of atrial fibrillation (AF). However, the details of congenital PV stenosis have not been reported in patients who underwent catheter ablation of AF. Methods and Results: A total of 178 patients (110 men, age: 54 ± 11 years) with drug-refractory AF received MRA or multidetector CT (MDCT) before ablation for delineation of PV morphologies. Five PVs in 5 patients (2.8%) showed at least 50% stenosis before ablation. We demonstrated two types of preexisting PV stenosis. Type I is the external compression of PV by the descending aorta, observed in LIPV of the three patients. Type II is the focal narrowing of PV, observed in RSPV of the two patients. Conclusion: Preexisting stenosis of PV may be a consequence of congenital focal narrowing or external compression by the adjacent structures. Detection of this condition by 3D CT or MRA before catheter ablation can provide information for planning of ablation strategy and prevent misdiagnosis of ablation-related PV stenosis.

AB - Introduction: Acquired pulmonary vein (PV) stenosis is a well-known complication following catheter ablation of atrial fibrillation (AF). However, the details of congenital PV stenosis have not been reported in patients who underwent catheter ablation of AF. Methods and Results: A total of 178 patients (110 men, age: 54 ± 11 years) with drug-refractory AF received MRA or multidetector CT (MDCT) before ablation for delineation of PV morphologies. Five PVs in 5 patients (2.8%) showed at least 50% stenosis before ablation. We demonstrated two types of preexisting PV stenosis. Type I is the external compression of PV by the descending aorta, observed in LIPV of the three patients. Type II is the focal narrowing of PV, observed in RSPV of the two patients. Conclusion: Preexisting stenosis of PV may be a consequence of congenital focal narrowing or external compression by the adjacent structures. Detection of this condition by 3D CT or MRA before catheter ablation can provide information for planning of ablation strategy and prevent misdiagnosis of ablation-related PV stenosis.

KW - Atrial fibrillation

KW - Computed tomography

KW - Magnetic resonance angiography

KW - Pulmonary vein

KW - Stenosis

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JO - Journal of cardiovascular electrophysiology

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ER -

Preexisting pulmonary vein stenosis in patients undergoing atrial fibrillation ablation: A report of five cases

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