Abstract
Multiple bilateral pulmonary arterio-venous malformations (PAVM) were diagnosed in a 15-year-old girl with erythrocytosis. Although transcatheter embolotherapy is generally accepted as a treatment of PAVM, the largest lesion in the right lower lobe was fed by a 13-mm diameter feeding artery without downstream narrowing, which was unsafe for the embolization of coils or balloons. Instead, we surgically ligated the largest feeding artery under video-assisted thoracoscopy, without losing any lung parenchyma. The other PAVM were successfully treated by embolization of metallic coils. The arterial partial pressure of oxygen (O 2) increased from 37 to 64 mmHg on room air, and from 46 to 410 mmHg on 100% O 2.
| Original language | English |
|---|---|
| Pages (from-to) | 596-598 |
| Number of pages | 3 |
| Journal | Interactive Cardiovascular and Thoracic Surgery |
| Volume | 3 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2004 Dec |
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Keywords
- Pulmonary arteriovenous malformation
- Pulmonary artery ligation
- Rendu-Osler-Weber syndrome
- Therapeutic embolization
- Video-assisted thoracoscopic surgery
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Pulmonary and Respiratory Medicine
- Surgery
Cite this
Segmental arterial ligation under video-assisted thoracoscopy combined with transcatheter embolotherapy for multiple bilateral pulmonary arteriovenous malformations. / Kohno, Mitsutomo; Noda, Kazumasa; Moriyama, Hirokazu; Nishimura, Yoshihiro.
In: Interactive Cardiovascular and Thoracic Surgery, Vol. 3, No. 4, 12.2004, p. 596-598.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Segmental arterial ligation under video-assisted thoracoscopy combined with transcatheter embolotherapy for multiple bilateral pulmonary arteriovenous malformations
AU - Kohno, Mitsutomo
AU - Noda, Kazumasa
AU - Moriyama, Hirokazu
AU - Nishimura, Yoshihiro
PY - 2004/12
Y1 - 2004/12
N2 - Multiple bilateral pulmonary arterio-venous malformations (PAVM) were diagnosed in a 15-year-old girl with erythrocytosis. Although transcatheter embolotherapy is generally accepted as a treatment of PAVM, the largest lesion in the right lower lobe was fed by a 13-mm diameter feeding artery without downstream narrowing, which was unsafe for the embolization of coils or balloons. Instead, we surgically ligated the largest feeding artery under video-assisted thoracoscopy, without losing any lung parenchyma. The other PAVM were successfully treated by embolization of metallic coils. The arterial partial pressure of oxygen (O 2) increased from 37 to 64 mmHg on room air, and from 46 to 410 mmHg on 100% O 2.
AB - Multiple bilateral pulmonary arterio-venous malformations (PAVM) were diagnosed in a 15-year-old girl with erythrocytosis. Although transcatheter embolotherapy is generally accepted as a treatment of PAVM, the largest lesion in the right lower lobe was fed by a 13-mm diameter feeding artery without downstream narrowing, which was unsafe for the embolization of coils or balloons. Instead, we surgically ligated the largest feeding artery under video-assisted thoracoscopy, without losing any lung parenchyma. The other PAVM were successfully treated by embolization of metallic coils. The arterial partial pressure of oxygen (O 2) increased from 37 to 64 mmHg on room air, and from 46 to 410 mmHg on 100% O 2.
KW - Pulmonary arteriovenous malformation
KW - Pulmonary artery ligation
KW - Rendu-Osler-Weber syndrome
KW - Therapeutic embolization
KW - Video-assisted thoracoscopic surgery
UR - http://www.scopus.com/inward/record.url?scp=9644266865&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=9644266865&partnerID=8YFLogxK
U2 - 10.1016/j.icvts.2004.07.003
DO - 10.1016/j.icvts.2004.07.003
M3 - Article
C2 - 17670320
AN - SCOPUS:9644266865
VL - 3
SP - 596
EP - 598
JO - Interactive Cardiovascular and Thoracic Surgery
JF - Interactive Cardiovascular and Thoracic Surgery
SN - 1569-9293
IS - 4
ER -