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Updated: Mar 21, 2026

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
[Treatment of chronic mediastinitis]
1Klinik für Thoraxchirurgie, Lungenzentrum Süd-West, Fachkliniken Wangen, Am Vogelherd 14, 88239, Wangen/Allgäu, Deutschland. robert.scheubel@wz-kliniken.de.
Background:
Chronic mediastinitis is a rare disorder characterized by the proliferation of fibrous tissue within the mediastinum resulting in compression of mediastinal structures.
Objective:
This article gives an overview of the treatment options for chronic mediastinitis.
Material And Methods:
A literature search was carried out regarding treatment options for chronic mediastinitis
Results And Conclusion:
Little is known about the pathogenesis of chronic mediastinitis, which has hampered the development of novel therapeutic approaches. There is no convincing evidence for the success of medicinal (antifungal or conventional anti-inflammatory) therapy and it is not recommended. In cases of clinical symptoms procedures for decompression, such as endovascular or endobronchial stents or surgical procedures, such as decompression interventions or extra-anatomic bypasses should be considered. The prognosis for unilateral involvement is better than for bilateral involvement if performed in specialized centers.
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Assessment:

