Diana Anjo, Jose Alberto de Agustín, Jose Luis Rodrigo, Carlos Macaya, Leopoldo Perez de Isla
San Carlos University Hospital.
Spain
Echocardiography
Echocardiography 2014; 31: E68-E69
DOI: 10.1111/echo.12413
Abstract
We report a case about a 43-year-old man admitted to hospital with progressive exertional dyspnea and hemoptysis. Two months before admission, he had undergone radiofrequency ablation for paroxysmal atrial fibrillation. Subsequent investigation revealed a severe obstruction of the left upper pulmonary vein (LUPV). Three-dimensional (3D) transesophageal echocardiography improved the morphological characterization of the LUPV, including direct en face visualization from the left atrium, and enabled the performance of direct planimetry at the level of LUPV stenosis using multiplanar review mode. Our case illustrates the usefulness of 3D transesophageal echocardiography in the accurate assessment of this rare but serious complication.
Category
Stenosis or Obstruction of Normal Pulmonary Venous Connections
Diagnostic Testing. Noninvasive
Year of Publication: 2014
Age Focus: Adult
Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)
Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No