Pulmonary Vein Stenosis After Catheter Ablation of Atrial Fibrillation

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Abstract

Background

This report describes the complication of pulmonary vein stenosis with resultant severe pulmonary hypertension that developed in 2 patients after successful catheter ablation of chronic atrial fibrillation.

Conclusions

The complication of pulmonary vein stenosis is potentially life-threatening, and the application of radiofrequency current within the pulmonary veins with standard catheter technology should be avoided. This complication can be treated with balloon dilation, although the long-term course is unknown. (Circulation. 1998;98:1769-1775.)

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