Acquired pulmonary vein (PV) stenosis (PVS) is a complication following cardiac catheter intervention. However, very few cases of PVS after surgical ablation have been reported. We herein report a case of stenosis and occlusion at the left atrium to each pulmonary vein after surgical ablation. A 73-year-old woman who had received aortic valve replacement and pulmonary vein isolation 10 months earlier was diagnosed with congestive heart failure accompanied by pulmonary hypertension. Contrast-enhanced computed tomography revealed stenosis and complete occlusion of the left atrium to all four pulmonary veins. Surgical repair was performed via pericardial patch reconstruction of the left atrium to each PV. Treating multiple PV lesions with involvement of the left atrium wall requires tailored methods. However, there have been few reports concerning such methods of reconstruction. We herein report a method of reconstructing the left atrium and pulmonary veins at the same time.

获得性肺静脉 (PV) 狭窄 (PVS) 是心脏导管介入后的并发症。然而，很少有手术消融后 PVS 的报道。我们在此报告一例手术消融后左心房各肺静脉狭窄和闭塞的病例。一名 73 岁女性在 10 个月前接受了主动脉瓣置换术和肺静脉隔离术，被诊断患有充血性心力衰竭并伴有肺动脉高压。对比增强计算机断层扫描显示左心房狭窄和全部四个肺静脉完全闭塞。通过左心房对每个 PV 的心包补片重建进行手术修复。治疗累及左心房壁的多个 PV 病变需要量身定制的方法。然而，关于这种重建方法的报道很少。我们在此报告一种同时重建左心房和肺静脉的方法。