{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T07:40:11Z","timestamp":1776411611403,"version":"3.51.2"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Pulmonary vein (PV) stenosis is a rare complication after catheter ablation for atrial fibrillation (AF). While there have been reported anecdotal cases of complete PV stenosis requiring pulmonary lobectomy, only one case of pneumonectomy has been documented so far.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 42-year-old man was referred to our Thoracic Surgery Unit for recurrent haemoptysis and exertional dyspnoea over the past 4 years and a recent finding of left PV occlusion. He suffered of relapsing AF that had almost five recurrences and that underwent a total of two percutaneous catheter ablations within a 7-year period. He also experienced a hospitalization for multifocal lobar pneumonia. Two attempts of percutaneous transluminal angioplasty (PTA) were unsuccessful. Due to the severity and the duration of PV occlusion, the previous PTA failure, the patient\u2019s age, and his symptoms, a left pneumonectomy was performed. During the postoperative period, the patient experienced only mild anaemia effectively managed with blood transfusions. Five months after surgery, he has no recurrence of symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>When the PV stenosis is complete, PTA may face high failure and recurrence rates. In this setting, anatomical pulmonary resections may represent a valid option to allow symptom relief and resolution.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae140","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T23:14:15Z","timestamp":1710458055000},"source":"Crossref","is-referenced-by-count":2,"title":["An unusual case of recurrent haemoptysis after ablation for atrial fibrillation requiring pneumonectomy: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4136-8293","authenticated-orcid":false,"given":"Giovanni","family":"Mattioni","sequence":"first","affiliation":[{"name":"Thoracic Surgery Unit, IRCCS National Cancer Institute of Milan , Via Giacomo Venezian, 1, 20133 Milano, MI , Italy"},{"name":"School of Thoracic Surgery, University of Milan , Via Festa del Perdono, 7, 20122 Milano, MI , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Orlandi","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit, IRCCS National Cancer Institute of Milan , Via Giacomo Venezian, 1, 20133 Milano, MI , Italy"},{"name":"School of Thoracic Surgery, University of Milan , Via Festa del Perdono, 7, 20122 Milano, MI , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Rubino","sequence":"additional","affiliation":[{"name":"Pathology and Cytology Unit, IRCCS Galeazzi-Sant\u2019Ambrogio Hospital , Via Cristina Belgioioso, 173, 20157 Milano, MI , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6744-1850","authenticated-orcid":false,"given":"Andrea","family":"Garatti","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Unit, IRCCS Policlinico San Donato , Piazza Edmondo Malan, 2, 20097 San Donato Milanese, MI , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9974-7902","authenticated-orcid":false,"given":"Ugo","family":"Pastorino","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit, IRCCS National Cancer Institute of Milan , Via Giacomo Venezian, 1, 20133 Milano, MI , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"2024043015333742100_ytae140-B1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.jcin.2008.12.014","article-title":"Pulmonary vein stenosis complicating ablation for atrial fibrillation: clinical spectrum and interventional considerations","volume":"2","author":"Holmes","year":"2009","journal-title":"JACC Cardiovasc Interventions"},{"key":"2024043015333742100_ytae140-B2","doi-asserted-by":"crossref","first-page":"e33","DOI":"10.1016\/j.athoracsur.2022.03.005","article-title":"Atrial fibrillation 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