Cardiopulmonary hemodynamic clues for pulmonary vein stenosis diagnosis

Mateo Porres-Aguilar, Genaro Fernandez, C. Gregory Elliott

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Pulmonary vein stenosis (PVS) post radiofrequency ablation for chronic atrial fibrillation poses a diagnostic challenge for the clinician. PVS presents with nonspecific symptoms, signs and radiographic features, and may be associated with significant pulmonary vascular involvement. Interestingly, others have described variation of the pulmonary artery wedge pressure between sites of the lung as a clue to pulmonary veno-occlusive disorders. We report, to the best of our knowledge, the first case that describes the regional loss of V waves while recording the mean pulmonary artery wedge pressure (mPawp) as well as the difference in pulmonary artery wedge pressure gradients as the main diagnostic clues for PVS.

Original languageEnglish (US)
Pages (from-to)499-500
Number of pages2
JournalPulmonary Circulation
Volume1
Issue number4
DOIs
StatePublished - 2011

Bibliographical note

Publisher Copyright:
© 2011, Taylor and Francis Inc. All rights reserved.

Keywords

  • Atrial fibrillation
  • Pulmonary hypertension
  • Pulmonary vein stenosis
  • Radiofrequency ablation

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