International Journal of Cardiovascular and Thoracic Surgery
Volume 1, Issue 1, July 2015, Pages: 1-4
Received: May 19, 2015;
Accepted: Jun. 30, 2015;
Published: Jul. 1, 2015
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Waheed Etman, Cardiothoracic Surgery Department, University of Alexandria, Alexandria, Egypt
Walid Abu Arab, Cardiothoracic Surgery Department, University of Alexandria, Alexandria, Egypt; Service of Cardiothoracic Surgery, University of Sherbrooke, Quebec, Canada
Background: Pulmonary arterio-venous malformation (PAVM) is a rare vascular anomaly that can be confronted with in cardiothoracic surgery patients. This study is a retrospective one that analyses the data of our experience with this entity at cardiothoracic surgery department of Alexandria University during nine years. Patients and methods: This is a retrospective study. The files of patients who presented with PAVMs were studied with special attention to the symptoms, signs, investigations that were performed, management and outcome. Results: Eleven patients were included in this study (seven males and four females). They were presented with various symptoms and were investigated mostly by plain x-ray chest and CT-Chest. CT scan with contrast or recently multi-slice CT was a good investigative tool that we depended on it without need for other diagnostic tool. The management was in the form of surgical resection in seven patients and embolo-therapy in four patients. Follow-up with plain x-ray chest and CT-Chest was completed for seven patients where there was no recurrence in those patients underwent embolo-therapy and no new development of PAVM in those underwent surgical resection Conclusion: We concluded that PAVM is an easy entity to diagnose, treat and manage but needs high clinical suspicion.
Walid Abu Arab,
Pulmonary Arterio-Venous Malformations: Is it Easy to Diagnose and Treat Early, International Journal of Cardiovascular and Thoracic Surgery.
Vol. 1, No. 1,
2015, pp. 1-4.
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