Sutureless technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation

Abstract Background Pulmonary vein stenosis or occlusion is a rare but one of the most devastating complications after catheter ablation for cardiac arrhythmias, and surgical repair is an option in severe cases. The sutureless technique, which avoids direct suture of vessel walls, was initially desc...

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Main Authors: Naohiro Wakabayashi, Aina Hirofuji, Natsuya Ishikawa, Hiroyuki Kamiya
Format: Article
Language:English
Published: Japan Surgical Society 2020-07-01
Series:Surgical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40792-020-00930-w
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author Naohiro Wakabayashi
Aina Hirofuji
Natsuya Ishikawa
Hiroyuki Kamiya
author_facet Naohiro Wakabayashi
Aina Hirofuji
Natsuya Ishikawa
Hiroyuki Kamiya
author_sort Naohiro Wakabayashi
collection DOAJ
description Abstract Background Pulmonary vein stenosis or occlusion is a rare but one of the most devastating complications after catheter ablation for cardiac arrhythmias, and surgical repair is an option in severe cases. The sutureless technique, which avoids direct suture of vessel walls, was initially described for congenital pulmonary vein stenosis and has been widely performed due to its good restenosis-free rate. Case presentation A 52-year-old male developed left pulmonary vein occlusion after catheter ablation for atrial fibrillation. The surgical repair with sutureless technique using the left atrial appendage was performed without any complications. Postoperative computed tomography demonstrated the revascularization of the pulmonary vein. Conclusions The sutureless technique using the left atrial appendage is significantly reasonable particularly in case of left pulmonary vein stenosis or occlusion after catheter ablation for atrial fibrillation since it reduces the risks of restenosis and thromboembolism.
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publishDate 2020-07-01
publisher Japan Surgical Society
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series Surgical Case Reports
spelling doaj-art-4c8f988a2c2d4544a935ddf4552d832c2025-08-02T07:23:13ZengJapan Surgical SocietySurgical Case Reports2198-77932020-07-01611510.1186/s40792-020-00930-wSutureless technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablationNaohiro Wakabayashi0Aina Hirofuji1Natsuya Ishikawa2Hiroyuki Kamiya3Department of Cardiac Surgery, Asahikawa Medical UniversityDepartment of Cardiac Surgery, Asahikawa Medical UniversityDepartment of Cardiac Surgery, Asahikawa Medical UniversityDepartment of Cardiac Surgery, Asahikawa Medical UniversityAbstract Background Pulmonary vein stenosis or occlusion is a rare but one of the most devastating complications after catheter ablation for cardiac arrhythmias, and surgical repair is an option in severe cases. The sutureless technique, which avoids direct suture of vessel walls, was initially described for congenital pulmonary vein stenosis and has been widely performed due to its good restenosis-free rate. Case presentation A 52-year-old male developed left pulmonary vein occlusion after catheter ablation for atrial fibrillation. The surgical repair with sutureless technique using the left atrial appendage was performed without any complications. Postoperative computed tomography demonstrated the revascularization of the pulmonary vein. Conclusions The sutureless technique using the left atrial appendage is significantly reasonable particularly in case of left pulmonary vein stenosis or occlusion after catheter ablation for atrial fibrillation since it reduces the risks of restenosis and thromboembolism.http://link.springer.com/article/10.1186/s40792-020-00930-wSutureless techniquePulmonary vein stenosisCatheter ablation
spellingShingle Naohiro Wakabayashi
Aina Hirofuji
Natsuya Ishikawa
Hiroyuki Kamiya
Sutureless technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation
Surgical Case Reports
Sutureless technique
Pulmonary vein stenosis
Catheter ablation
title Sutureless technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation
title_full Sutureless technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation
title_fullStr Sutureless technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation
title_full_unstemmed Sutureless technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation
title_short Sutureless technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation
title_sort sutureless technique using the left atrial appendage for left pulmonary vein occlusion after catheter ablation
topic Sutureless technique
Pulmonary vein stenosis
Catheter ablation
url http://link.springer.com/article/10.1186/s40792-020-00930-w
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