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[Lung resection in arteriovenous fistula]
1Thoraxchirurgische Abteilung der Lungenklinik Heckeshorn, Krankenhaus Zehlendorf, Berlin.
Pneumologie (Stuttgart, Germany)
|February 1, 1990
Summary
Pulmonary arteriovenous fistulas, a lung disease or part of Rendu-Osler-Weber
Area of Science:
- Cardiovascular Surgery
- Pulmonary Medicine
- Vascular Surgery
Background:
- Pulmonary arteriovenous fistulas (PAVF) can be an isolated condition or a manifestation of hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber disease).
- Complications include hemoptysis, hemothorax, and cerebral embolism, posing significant risks.
Observation:
- This report details three patients who underwent surgical intervention for PAVs.
- One patient had a history of cerebral infarction, highlighting the risk of neurological complications.
- Surgical options included wedge excision and lobectomy.
Findings:
- Surgical removal of PAVs is indicated due to the severe potential complications.
- Successful resection can lead to a decrease in the right-to-left shunt volume.
- This approach addresses the underlying vascular anomaly effectively.
Implications:
- Surgical management of PAVs is crucial for preventing life-threatening complications.
- Early intervention can mitigate risks such as hemoptysis and cerebral events.
- Resection offers a definitive treatment for PAVs, improving patient outcomes.