Segmental arterial ligation under video-assisted thoracoscopy combined with transcatheter embolotherapy for multiple bilateral pulmonary arteriovenous malformations

Mitsutomo Kohno; Kazumasa Noda; Hirokazu Moriyama; Yoshihiro Nishimura

doi:10.1016/j.icvts.2004.07.003

Segmental arterial ligation under video-assisted thoracoscopy combined with transcatheter embolotherapy for multiple bilateral pulmonary arteriovenous malformations

Mitsutomo Kohno, Kazumasa Noda, Hirokazu Moriyama, Yoshihiro Nishimura

Department of Surgery

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

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	https://doi.org/10.1016/j.icvts.2004.07.003
Publication status	Published - 2004 Dec 1

Keywords

Pulmonary arteriovenous malformation
Pulmonary artery ligation
Rendu-Osler-Weber syndrome
Therapeutic embolization
Video-assisted thoracoscopic surgery

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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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, 01.12.2004, p. 596-598.

Research output: Contribution to journal › Article › peer-review

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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.",

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AU - Noda, Kazumasa

AU - Moriyama, Hirokazu

AU - Nishimura, Yoshihiro

PY - 2004/12/1

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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.

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KW - Pulmonary artery ligation

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KW - Video-assisted thoracoscopic surgery

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Segmental arterial ligation under video-assisted thoracoscopy combined with transcatheter embolotherapy for multiple bilateral pulmonary arteriovenous malformations

Abstract

Keywords

ASJC Scopus subject areas

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