Surgically Treatable Pulmonary Arteriovenous Fistula

被引:10
作者
Pejhan, Saviz [1 ]
Rahmanijoo, Nasrin [2 ]
Farzanegan, Roya [1 ]
Rahimi, Mostafa [3 ]
机构
[1] Shahid Beheshti Univ Med Sci & Hlth Serv, Tracheal Dis Res Ctr, NRITLD, Masih Daneshvari Hosp, Tehran, Iran
[2] Islamic Azad Univ, Dept Thorac Surg Ward, Med Branches, Tehran, Iran
[3] Tabriz Univ Med Sci, Dept Pharmacol, Tabriz, Iran
关键词
pulmonary arteriovenous fistula; surgery; treatment; MALFORMATIONS;
D O I
10.5761/atcs.cr.11.01661
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Arteriovenous fistuli are congenital malformations. Usually symptoms depend on size of the lesion. Lesions smaller than 2 cm are often asymptomatic. The most common symptoms are dyspnea, palpitation and fatigue. Cyanosis is indicative of right to left shunt. Helical computed tomography (CT) scan is a helpful diagnostic tool in this case. Surgery is the treatment of choice in patients with isolated lesions. Embolization is a selective method in patients with multiple or bilateral lesions. The patient was a 13-year old boy complaining of cyanosis of lips and nails as well as dyspnea for 5 years. Definite diagnosis of pulmonary arteriovenous malformation (PAVM) in the right middle lobe was based on CT angiography. The patient underwent a thoracotomy and lobectomy of the right middle lobe. After surgery cyanosis and dyspnea were completely resolved.
引用
收藏
页码:36 / 38
页数:3
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