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Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
06:59

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[Congenital stenosis of pulmonary veins: long-term efficacy after intraluminal dilatation]

F Benito Bartolomé1

  • 1Sección de Hemodinámica. Laboratorio de Cateterismo Cardíaco. Hospital Infantil La Paz. Madrid. fbenito@gmx.net

Revista Espanola De Cardiologia
|January 5, 2002
PubMed

Insights

Congenital pulmonary vein stenosis in an infant was successfully treated with balloon angioplasty. The procedure significantly reduced pressure gradients and improved vein diameter, leading to long-term asymptomatic recovery.

Area of Science:

  • Pediatric Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Congenital pulmonary vein stenosis is a rare condition causing significant hemodynamic compromise in infants.
  • Early diagnosis and intervention are crucial for managing this potentially life-threatening condition.

Observation:

  • A 7-month-old infant presented with congenital pulmonary vein stenosis affecting the superior left pulmonary vein.
  • Cardiac catheterization revealed two distinct stenotic segments.

Findings:

  • Balloon angioplasty successfully dilated the stenoses from 2 mm and 3.5 mm to 6 mm.
  • Post-procedure, the pressure gradient across the stenoses decreased from 20 mmHg to 4 mmHg.
  • Pulmonary artery pressure reduced from 75/35 mmHg to 44/28 mmHg.

Implications:

  • Balloon angioplasty is an effective treatment for congenital pulmonary vein stenosis in infants.
  • This intervention can lead to sustained clinical improvement and long-term positive outcomes.
  • Successful management offers a favorable prognosis, allowing patients to remain asymptomatic into adolescence.

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