A case of pulmonary arteriovenous malformation treated surgically

Pulmonary arteriovenous malformation is a rare abnormality consisting of a direct connection between the arteries and the pulmonary veins. Most of the malformations are related to hereditary hemorrhagic telangiectasia, although 10 to 20% cases are idiopathic. Clinical manifestations are due to right...

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Published inRevue des maladies respiratoires Vol. 38; no. 10; p. 1037
Main Authors Bouassida, I, Hamdi, B, Abdelkbir, A, Zribi, H, Neji, H, Ouerghi, S, Hamzaoui, A, Marghli, A
Format Journal Article
LanguageEnglish
French
Published France 01.12.2021
Subjects
Arteriovenous Fistula
Arteriovenous Malformations - diagnosis
Arteriovenous Malformations - surgery
Embolization, Therapeutic
Female
Humans
Pulmonary Artery - diagnostic imaging
Pulmonary Artery - surgery
Pulmonary Veins - surgery
Telangiectasia, Hereditary Hemorrhagic - complications
Telangiectasia, Hereditary Hemorrhagic - diagnosis
Chirurgie
Pulmonary arteriovenous malformation
Embolization
embolisation
Malformation artérioveineuse pulmonaire
Surgery
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Summary:Pulmonary arteriovenous malformation is a rare abnormality consisting of a direct connection between the arteries and the pulmonary veins. Most of the malformations are related to hereditary hemorrhagic telangiectasia, although 10 to 20% cases are idiopathic. Clinical manifestations are due to right-to-left shunting. Embolization is the treatment of choice, when it is possible and accessible. Surgery continues to be appropriate in certain cases. We report the case of a woman who presented with an isolated complex arteriovenous malformation fed by two afferent arteries, a lingular one and an antero-basal one. Surgical treatment by lingual and antero-basal bisegmentectomy was undertaken with a good outcome.
ISSN:1776-2588
DOI:10.1016/j.rmr.2021.06.008