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Updated: Oct 30, 2025

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
Pulmonary Vein Stenosis: Incremental Knowledge Gains to Improve Outcomes
Rachel D Vanderlaan1, Christopher A Caldarone2
1Division of Cardiovascular Surgery, Hospital for Sick Children, Toronto, ON M5G 1X8, Canada.
Pulmonary vein stenosis is a serious condition in children with high mortality. This review covers its clinical features, causes, and factors contributing to its progression.
Area of Science:
- Cardiology
- Pediatric Pulmonology
- Medical Research
Background:
- Pulmonary vein stenosis (PVS) presents a significant clinical challenge, particularly in pediatric populations.
- Progressive forms of PVS are associated with high mortality rates in children.
Purpose of the Study:
- To review the clinical spectrum of pulmonary vein stenosis.
- To explore the known etiology of progressive pulmonary vein stenosis.
- To identify potential modifying and contributing factors in the progression of PVS.
Main Methods:
- Literature review of existing studies on pulmonary vein stenosis.
- Synthesis of current knowledge on the clinical presentation and causes of PVS.
- Analysis of factors influencing the progression of the disease.
Main Results:
- The clinical presentation of PVS is diverse and requires careful diagnosis.
- Etiological factors for progressive PVS are multifactorial and not fully understood.
- Several genetic, environmental, and iatrogenic factors may contribute to or modify PVS progression.
Conclusions:
- Pulmonary vein stenosis is a complex pediatric condition requiring further research into its causes and progression.
- Understanding contributing factors is crucial for developing targeted therapies and improving outcomes for children with PVS.
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