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Non-interventional Management of Symptomatic Pulmonary Vein Occlusion After Radiofrequency Ablation for Atrial Fibrillation


Pulmonary vein occlusion (PVO) after atrial fibrillation ablation is usually highly symptomatic. Optimal management is controversial, with angioplasty and stenting of a total occlusion being technically challenging, risky, and often unsuccessful. Thoracotomy and surgical lobectomy has recently been reported as a treatment option, but the natural history of physiological adaptation may outweigh the risks of invasive therapies and a non-invasive strategy is valid in these situations. We present a case of highly symptomatic PVO managed non-invasively, with complete symptom resolution and return to high-intensity exercise. High-risk interventional procedures, such as angioplasty or lobectomy may not be necessary to manage PVO.

Credits: Logan Bittinger , MBBS, FRACP; Anthony Tang MD



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Introduction to AFib
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