Successful Reconstruction of Iatrogenic Pulmonary Vein Stenosis

IMAGE(S): Multimodality imaging of iatrogenic pulmonary vein stenosis (echocardiography, computed tomography angiography, fluoroscopy). CASE SUMMARY: A middle-aged woman developed progressive dyspnea after high-power short-duration ablation for atrial fibrillation. Imaging identified severe left inferior and moderate left superior pulmonary vein stenosis. Staged percutaneous stent implantation successfully restored patency in both veins, with sustained symptomatic and hemodynamic improvement on follow-up. TAKE-HOME MESSAGES: Pulmonary vein stenosis should be suspected in patients with unexplained dyspnea after ablation. Multimodality imaging and staged percutaneous stenting provide effective and durable management. LEVEL OF DIFFICULTY: Advanced.