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[Isolated pulmonary arteriovenous malformation (PAVM)--report of three cases]

Arpád Füredi1, László István Kecskés

  • 1Vas Megyei Markusovszky Lajos Altalános, Rehabilitációs és Gyógyfürdo Kórház, Egyetemi Oktatókórház Mellkassebészeti Osztály 9700 Szombathely Markusovszky u. 3. a.furedi@upcmail.hu

Magyar Sebeszet
|April 20, 2010
PubMed

Insights

Pulmonary arteriovenous malformations (PAVMs) require surgical excision for best outcomes. Minimally invasive Video-Assisted Thoracoscopic Surgery (VATS) techniques like wedge resection offer parenchyma-sparing options for these rare conditions.

Area of Science:

  • Cardiothoracic Surgery
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Pulmonary arteriovenous malformations (PAVMs) are rare vascular anomalies of the lung.
  • While often asymptomatic, PAVMs carry risks of serious complications including stroke and brain abscess.
  • Surgical intervention is preferred over embolization due to potential incompleteness and systemic embolization risks.

Observation:

  • This study presents three cases of asymptomatic PAVMs initially detected as pulmonary round shadows.
  • The patients underwent surgical treatment for their PAVMs.
  • Diagnostic imaging played a crucial role in identifying the PAVMs.

Findings:

  • Two patients were treated with Video-Assisted Thoracoscopic Surgery (VATS) wedge resections.
  • One patient underwent a segmentectomy via axillary thoracotomy.
  • Surgical excision, particularly parenchyma-sparing VATS techniques, is effective for PAVMs.

Implications:

  • PAVMs should be considered in the differential diagnosis of asymptomatic pulmonary nodules.
  • Minimally invasive surgical approaches like VATS are feasible and desirable for PAVM resection.
  • Timely diagnosis and treatment of PAVMs can prevent severe neurological and embolic complications.

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