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Lung Cancer-Like Presentation of Pulmonary Vein Stenosis After Radiofrequency Catheter Ablation for Atrial Fibrillation.

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Respirology case reports 📖 저널 OA 100% 2022: 1/1 OA 2024: 1/1 OA 2025: 17/17 OA 2026: 32/32 OA 2022~2026 2025 Vol.13(11) p. e70400
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Moran-Mendoza O, Hersen B, Allarakhia S, Neder JA, Dhillon G

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A woman in her 50s presented with a two-month history of haemoptysis, dyspnea, cough and weight loss.

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APA Moran-Mendoza O, Hersen B, et al. (2025). Lung Cancer-Like Presentation of Pulmonary Vein Stenosis After Radiofrequency Catheter Ablation for Atrial Fibrillation.. Respirology case reports, 13(11), e70400. https://doi.org/10.1002/rcr2.70400
MLA Moran-Mendoza O, et al.. "Lung Cancer-Like Presentation of Pulmonary Vein Stenosis After Radiofrequency Catheter Ablation for Atrial Fibrillation.." Respirology case reports, vol. 13, no. 11, 2025, pp. e70400.
PMID 41211337 ↗
DOI 10.1002/rcr2.70400

Abstract

A woman in her 50s presented with a two-month history of haemoptysis, dyspnea, cough and weight loss. She had recently undergone radiofrequency ablation for atrial fibrillation. A computed tomography (CT) scan of her chest showed left upper lobe opacity, mediastinal lymphadenopathy, and left pleural effusion, concerning for malignancy. Bronchoscopy revealed a malignant-appearing lesion that was negative for malignancy on biopsy. Despite improvement of the CT abnormalities and the lesion on a repeat bronchoscopy, she continued to experience recurrent episodes of dyspnea and haemoptysis. A ventilation/perfusion scan showed decreased perfusion to her left lung. A CT pulmonary angiogram with pulmonary vein phase established the diagnosis of pulmonary vein stenosis. This case highlights the necessity of considering pulmonary vein stenosis in patients post-ablation presenting with features suggestive of lung cancer to avoid unnecessary delays in diagnosis and treatment.

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