Venous retrograde approach for endovascular angioplasty in chronic total pulmonary vein occlusion -a case report.
Humans
Treatment Outcome
Stents
Pulmonary Veins
/ diagnostic imaging
Chronic Disease
Pulmonary Veno-Occlusive Disease
/ therapy
Stenosis, Pulmonary Vein
/ diagnostic imaging
Mediastinitis
/ diagnosis
Male
Phlebography
Angioplasty, Balloon
/ instrumentation
Aged
Hypertension, Pulmonary
/ physiopathology
Fibrosis
Collateral Circulation
Pulmonary Circulation
Female
Case report
Endovascular angioplasty
Pulmonary vein occlusion
Pulmonary vein stenosis
Venous antegrade approach
Journal
BMC cardiovascular disorders
ISSN: 1471-2261
Titre abrégé: BMC Cardiovasc Disord
Pays: England
ID NLM: 100968539
Informations de publication
Date de publication:
22 Jun 2024
22 Jun 2024
Historique:
received:
25
10
2023
accepted:
17
06
2024
medline:
23
6
2024
pubmed:
23
6
2024
entrez:
22
6
2024
Statut:
epublish
Résumé
Fibrosing mediastinitis (FM) is a rare disease characterized by excessive proliferation of fibrous tissue in the mediastinum and can cause bronchial stenosis, superior vena cava obstruction, pulmonary artery and vein stenosis, etc. CASE PRESENTATION: An aging patient with intermittent chest tightness and shortness of breath was diagnosed with FM associated pulmonary hypertension (FM-PH) by echocardiography and enhanced CT of the chest, and CT pulmonary artery (PA)/ pulmonary vein (PV) imaging revealed PA and PV stenosis. Selective angiography revealed complete occlusion of the right upper PV, and we performed endovascular intervention of the total occluded PV. After failure of the antegrade approach, the angiogram revealed well-developed collaterals of the occluded RSPV-V2b, so we chose to proceed via the retrograde approach. We successfully opened the occluded right upper PV and implanted a stent. This report may provide new management ideas for the interventional treatment of PV occlusion.
Identifiants
pubmed: 38909188
doi: 10.1186/s12872-024-03984-y
pii: 10.1186/s12872-024-03984-y
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
315Subventions
Organisme : National Natural Science Foundation of China
ID : 82070052
Informations de copyright
© 2024. The Author(s).
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