Abstract
We experienced five cases of pulmonary arteriovenous malformations (PAVMs) that were successfully treated by video-assisted thoracoscopic surgery. Four malformations were treated by local wedge resection and one was treated by segmentectomy. Criteria for patient selection for surgery were peripheral and solitary lesions, with feeding arteries larger than 3 mm. Postoperative hospital stays were 1–7 days (median, 2 days). All patients showed unchanged or increased values of PaO2 in arterial blood after operation. No major postoperative complication occurred in any patient, but a persistent air leak for 5 days occurred in the one patient who was treated by segmentectomy. No growth of accessory vessels or untreated malformations were seen in any patient throughout the follow-up period of 14–54 months. Thoracoscopic surgical resection for well-selected patients provides a high certainty of eliminating fistulae and was associated with lower morbidity, lower mortality, and shorter hospital stays.
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References
Porstmann W. Therapeutic embolisation of arteriovenous pulmonary fistula by catheter technique. In: Kelop, editor. Current concepts in pediatric radiology. Berlin: Springer; 1977. p. 23–31.
Gossage JR, Kanj G. Pulmonary arteriovenous malformations. Am J Respin Crit Car Med 1998;158:643–661.
Lee DW, White RI Jr, Egglin TK, Pollak JS, Fayad PB, Wirth JA, et al. Embolotherapy of large pulmonary arteriovenous malformations: long-term results. Ann Thorac Surg 1997;64:930–940.
Puskas JD, Allen MS, Moncure AC, Wain JC, Hilgenberg AD, Wright C, et al. Pulmonary arteriovenous malformations: therapeutic options. Ann Thorac Surg 1993;56:253–258.
Dines DE, Seward JB, Bernatz PE. Pulmonary arteriovenous fistulas. Mayo Clin Proc 1983;58(3):176–181.
Watanabe N, Munakata Y, Ogiwara M, Miyatake M, Nakagawa F, Hirayama J. A case of pulmonary arteriovenous malformation in a patient with brain abscess successfully treated with video-assisted thoracoscopic resection. Chest 1995;108(6):1724–1727.
Georghiou GP, Berman M, Vidne BA, Saute M. Pulmonary arteriovenous malformation treated by lobectomy. Eur J Cardiothorac Surg 2003;24(2):328–330.
Temes RT, Paramsothy P, Endara SA, Wernly JA. Resection of a solitary pulmonary arteriovenous malformation by video-assisted thoracic surgery. J Thorac Cardiovasc Surg 1998;116(5):878–879.
Shovlin CL, Letarte M. Hereditary haemorrhagic telangiectasia and pulmonary arteriovenous malformations: issues in clinical management and review of pathogenic mechanisms. Thorax 1999;54:714–729.
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Ishikawa, Y., Yamanaka, K., Nishii, T. et al. Video-assisted thoracoscopic surgery for pulmonary arteriovenous malformations: report of five cases. Gen Thorac Cardiovasc Surg 56, 187–190 (2008). https://doi.org/10.1007/s11748-007-0215-6
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DOI: https://doi.org/10.1007/s11748-007-0215-6