一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 検索用
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 全文PDF

Abstract

Full Text of PDF Full Text of PDF (817k)
Article in Japanese

Case Report

Congestive pulmonary infarction resulting from pulmonary venous occlusion as a complication of catheter ablation: A case report

Yasuhiro Tomita  Reiko Matsuzawa  Hirokazu Kuroda  Sachiko Takahashi  Tadasuke Ikenouchi  Toru Hara 

Department of Respiratory Medicine, Anjo Kosei Hospital

ABSTRACT

A 43-year-old male presented to our hospital complaining of pyrexia and bloody sputum. Approximately 5 months earlier, he had undergone catheter ablation therapy for paroxysmal atrial fibrillation and was in good health without symptoms. Radiographic examinations revealed infiltration at the left lingula, suggestive of bacterial pneumonia. After antimicrobial drugs proved ineffective, transbronchoscopic lung biopsy was performed for a definitive diagnosis. A histopathological examination showed interstitial organization and thickening of alveolar septa with scattered hemosiderin-laden macrophages. Chest CT, employing the 3D-reconstruction method, clearly demonstrated left-upper pulmonary vein occlusion. We thus diagnosed congestive pulmonary infarction resulting from pulmonary venous occlusion as a postcatheter ablation complication. Practitioners should be aware of this relatively significant complication of current medical innovations.

KEYWORDS

Catheter ablation  Pulmonary vein stenosis  Pulmonary infarction 

Received 2 May 2013 / Accepted 3 Sep 2013

AJRS, 3(1): 84-88, 2014

Google Scholar