title: Bifurcation angioplasty using drug eluting stents of post-AF ablation severe pulmonary vein stenosis.
abstract: A 53-year-old man with long-standing persistent AF underwent multiple ablation procedures. A presentation with hemoptysis led to a left pulmonary artery wedge angiography and thoracic computed tomography (CT) scan, which revealed a tight bifurcation stenosis of the left superior pulmonary vein (LSPV). This was treated by angioplasty with drug-eluting stents to avoid restenosis by bare-metal stent implantation in small diameter PVs as already described. After predilatation, two 4 × 32-mm and a 3 × 20-mm Taxus® Liberté stents (Boston Scientific, Natick, MA, USA) were deployed across upper and lower LSPV branches and the ostio-antral segment. Twenty-two month follow-up CT angiography showed patent stents in the LSPV, without in-stent restenosis (no arrhythmia or hemoptysis at 24-month follow-up).
authors.affiliation: Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Jariwala
authors.forename: Julien
authors.initials: J
authors.lastname: Seitz
authors.forename: Erik
authors.initials: E
authors.lastname: Bouvier
authors.forename: Jean F
authors.initials: JF
authors.lastname: Piechaud
mesh_terms: D017130:Angioplasty / Q000379:methods*; D001281:Atrial Fibrillation / Q000150:complications* / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D017115:Catheter Ablation / Q000009:adverse effects*; D054855:Drug-Eluting Stents; D006801:Humans; D008297:Male; D008875:Middle Aged; D011668:Pulmonary Veno-Occlusive Disease / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery*; D016896:Treatment Outcome