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Ann Thorac Surg 2009;88:1674-1676. doi:10.1016/j.athoracsur.2009.03.013
© 2009 The Society of Thoracic Surgeons
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Zeena Makhija
Michael T. Marrinan
Ranjit Deshpande
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Case Reports

Fibrosing Mediastinitis and Occlusion of Pulmonary Veins After Radiofrequency Ablation

Zeena Makhija, MS, MRCSa,*, Francis Murgatroyd, FRCPb, Nicholas Gall, FRCPb, Michael T. Marrinan, FRCSa, Ranjit Deshpande, FRCSa, Sujal R. Desai, FRCRc

a Department of Cardiothoracic Surgery, Kings College Hospital, London, United Kingdom
b Department of Cardiology, Kings College Hospital, London, United Kingdom
c Department of Radiology, Kings College Hospital, London, United Kingdom

Accepted for publication March 6, 2009.

* Address correspondence to Dr Makhija, Victoria and Albert Ward, Kings College Hospital, Denmark Hill, London, SE5 9RS, United Kingdom (Email: profknow171{at}yahoo.com).

Pulmonary vein stenosis is a known complication of radiofrequency ablation; its incidence ranges from 8% to 50%. However, complete occlusion of unilateral pulmonary veins is uncommon. We report a case with radiofrequency ablation that was complicated by complete occlusion of pulmonary veins along with fibrosing mediastinitis, which we believe has not been previously reported.






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