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Medical Treatment of A Symptomatic Acute Pulmonary Vein Stenosis Following Antral Pulmonary Vein Isolation

Pulmonary vein (PV) stenosis is a rare but serious complication of PV isolation. It usually develops 3-6 months after the procedure, but may rarely develop in the acute phase. We present a case of symptomatic PV stenosis within 48 hours after antral PV isolation. Following the initiation of medical treatment including a glucocorticoid, acute changes in the PV wall regressed and the patient’s complaint of dyspnea at rest improved rapidly. In addition, long-term renin-angiotensin-aldosterone system (RAAS) blockers were given. The symptoms did not recur during follow-up and PV stenosis was mild at 6 months.

Credits: Taner Ulus; Muhammet Dural; Emre ?ener; Pelin Me?e; Emel Kurt; Nevin Ayd?n

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