Related Experiment Video
Updated: Jan 13, 2026
Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
Successful Reconstruction of Iatrogenic Pulmonary Vein Stenosis
Patrizio Lancellotti1, Raluca Dulgheru1, Vincenzo Miraglia1
1Department of Cardiology, University of Liège Hospital, GIGA Institutes, Cardiovascular Sciences and Metabolism, CHU Sart Tilman, Liège, Belgium.
Image(S):
Multimodality imaging of iatrogenic pulmonary vein stenosis (echocardiography, computed tomography angiography, fluoroscopy).
Case Summary:
A middle-aged woman developed progressive dyspnea after high-power short-duration ablation for atrial fibrillation. Imaging identified severe left inferior and moderate left superior pulmonary vein stenosis. Staged percutaneous stent implantation successfully restored patency in both veins, with sustained symptomatic and hemodynamic improvement on follow-up.
Take-Home Messages:
Pulmonary vein stenosis should be suspected in patients with unexplained dyspnea after ablation. Multimodality imaging and staged percutaneous stenting provide effective and durable management.
Level Of Difficulty:
Advanced.
