Simultaneous kissing stent in a patient with severe bifurcation pulmonary vein stenosis

Catheter Cardiovasc Interv. 2015 Feb 1;85(2):292-6. doi: 10.1002/ccd.25562. Epub 2014 Jun 18.

Abstract

Pulmonary vein stenosis (PVS) is a late and rare complication of pulmonary vein isolation for the treatment of atrial fibrillation. The ideal approach to the management of PVS has not yet been established, however, corrective procedures may include both surgical and percutaneous techniques. We describe the case of a complex bifurcation lesion involving the left superior pulmonary vein. The condition required percutaneous intervention using a modified kissing stent technique with bare metal stents that resulted in an excellent post-operative course, sustained symptomatic relief, and uncomplicated 1-year follow-up. © 2014 Wiley Periodicals, Inc.

Keywords: ablation; bifurcation lesion; kissing stent; pulmonary vein stenosis.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon / instrumentation*
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / surgery*
  • Catheter Ablation / adverse effects*
  • Humans
  • Iatrogenic Disease*
  • Male
  • Middle Aged
  • Prosthesis Design
  • Pulmonary Veins / diagnostic imaging
  • Pulmonary Veins / physiopathology
  • Pulmonary Veins / surgery*
  • Pulmonary Veno-Occlusive Disease / diagnosis
  • Pulmonary Veno-Occlusive Disease / etiology
  • Pulmonary Veno-Occlusive Disease / therapy*
  • Severity of Illness Index
  • Stents*
  • Tomography, X-Ray Computed
  • Treatment Outcome