Multidisciplinary Approach to Isolated Pulmonary Vein Compression by an Enlarging Vertebral Osteophyte

Bogdan A Kindzelski; Joanna Ghobrial; Richard Schlenk; Gösta B Pettersson; Daniel P Raymond

doi:10.1016/j.jaccas.2021.12.018

Multidisciplinary Approach to Isolated Pulmonary Vein Compression by an Enlarging Vertebral Osteophyte

JACC Case Rep. 2022 Feb 2;4(3):145-149. doi: 10.1016/j.jaccas.2021.12.018.

Authors

Bogdan A Kindzelski¹, Joanna Ghobrial², Richard Schlenk³, Gösta B Pettersson¹, Daniel P Raymond¹

Affiliations

¹ Heart, Vascular, and Thoracic Institute, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
² Heart, Vascular, and Thoracic Institute, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
³ Neurological institute, Department of Neurological Surgery, Cleveland Clinic, Cleveland, Ohio, USA.

Abstract

Compression of mediastinal structures by vertebral osteophytes is rare. We report a case of pulmonary vein compression by a vertebral osteophyte that failed stenting. A minimally invasive approach to osteophyte removal with subsequent re-expansion angioplasty yielded an optimal outcome, negating the need for cardiopulmonary bypass, stent removal, and pulmonary venoplasty. (Level of Difficulty: Intermediate.).

Keywords: CT, computed tomography; RIPV, right inferior pulmonary vein; pulmonary circulation; stenosis; stent; thoracic.

Publication types

Case Reports