Weekly Chest CasesCases by Disease Category

Case No : 1302 Date 2022-10-05

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  • Courtesy of Suyon Chang / Seoul St. Mary
  • Age/Sex 56 / M
  • Chief Complaintblood-tinged sputum (2 weeks ago)
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Pulmonary vein stenosis after ablation therapy for arrhythmia
Radiologic Findings
Fig 1-3. Chest CT shows peripheral consolidations, interlobular septal thickening, and parenchymal bands in the basal segments of right lower lobe.
Fig 4-5. CT scans reveals severe stenosis of the right inferior pulmonary vein.
Brief Review
Acquired pulmonary vein stenosis is most often seen after radiofrequency ablation for atrial fibrillation, occurring in up to 3%
References
1. Learning from the Pulmonary Veins. RadioGraphics 2013;33:999-1022.
2. Comprehensive cross-sectional imaging of the pulmonary veins. RadioGraphics 2017;37:1928-1954.
Keywords
Pulmonary vein stenosis after ablation therapy,

No. of Applicants : 78

▶ Correct Answer : 29/78,  37.2%
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - , Japan HIROAKI ARAKAWA
  • - Jichi Medical University Hospital , Japan JUN KANZAWA
  • - Kinki University Faculty of Medicine, , Japan MITSURU MATSUKI
  • - , Japan KYOKO NAGAI
  • - Ajou University Hospital , Korea (South) SUNG HYUN AN
  • - Shiga University of Medical Science , Japan AKITOSHI INOUE
  • - , Italy PAOLO BALDASSARI
  • - Tiger Gate Hospital , Japan SHIN-ICHI CHO
  • - Ajou University Hospital , Korea (South) KYUNGMIN LEE
  • - Scans world , India PHILSON JOSEPH MUKKADA
  • - Oita University, Faculty of Medicine , Japan FUMITO OKADA
  • - Osaka University , Japan AKINORI HATA
  • - Osaka Metropolitan University , Japan HIROTAKA TAKITA
  • - Ajou University Hospital , Korea (South) HYUNSEUNG LEE
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - Gifu University Hospital , Japan Yo Kaneko
  • - , Japan KENTARO KOTANI
  • - Kyoto University Hospital , Japan YASUHISA KURATA
  • - Ajou University Hospital , Korea (South) YOU NA KIM
  • - , Japan SHUNJIRO NOGUCHI
  • - Eskisehir Sehir Hastanesi , Turkey MURAT SAHIN
  • - Dokkyo Medical University , Japan HIROAKI ARAKAWA
  • - Kyoto University Hospital , Japan SATOSHI IKEDA
  • - Toranomon Hospital , Japan KAORU SUMIDA
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
  • - , Japan RYO UEMURA
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
  • - Jiangsu province hospital , China WANGJIAN ZHA
▶ Correct Answer as Differential Diagnosis : 3/78,  3.8%
  • - Showa General Hospital , Japan MASAFUMI KAIUME
  • - Ajou University Hospital , Korea (South) HAEIN LEE
  • - , Japan YUKI HAYASHI
▶ Semi-Correct Answer : 14/78,  17.9%
  • - McGill University Health Center , Canada ALEXANDRE SEMIONOV
  • - Kyoto University Hospital , Japan YUSUKE UTSUNOMIYA
  • - Other , Korea (South) SEONGSU KANG
  • - Samsung Medical Center , Korea (South) JUHYUN KIM
  • - Shimada General Medical Center , Japan HAYATO NOZAWA
  • - , India JAHNAVI GADUPTI
  • - Osaka Metropolitan University Hospital , Japan SHU MATSUSHITA
  • - Chungbuk National University Hospital , Korea (South) MIHYEON PARK
  • - Avrasya Hospital/ISTANBUL , Turkey MURAT ULUSOY
  • - Chonnam National University Hwasun Hospital , Korea (South) JEONG YEOP LEE
  • - Manipal hospital Hebbal ,Bengaluru , India PRAVIN KUMAR M
  • - Other , Korea (South) KYU-CHONG LEE
  • - Nishida Hospital , Japan SHOJI OKUDA
  • - Nerimahikarigaoka hospital , Japan TAKANA HAYASHI
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