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.
Altin S, Dalar L, Karasulu L, Çetinjaya E, Timur S, Solmazer N. Resection of giant endobronchial hamartoma by electrocautery and cryotherapy via flexible bronchoscopy. Tüberküloz ve Toraks Dergisi. 2007; 55(4):390-4.
Anabtawi IN, Ellison RG, Ellison LT. pulmonary arteriovenous aneurysms and fistulas. anatomical variations, embriology, and classification. The Annals of thoracic surgery. 1965;122:277-85.
Khurshid I, Downie GH. Pulmonary arteriovenous malformation. Postgraduate medical journal. 2002;78(918):191-7.
Remy J, Remy-Jardin M, Wattinne L, Deffontaines C. Pulmonary arteriovenous malformations: evaluation with CT of the chest before and after treatment. Radiology. 1992 March 1, 1992;182(3):809-16.
Bosher Jr LH, Blake DA, Byrd BR. An analysis of the pathologic anatomy of pulmonary arteriovenous aneurysms with particular reference to the applicability of local excision. Surgery. 1959;45(1):91.
Prager RL, Laws KH, Bender HW. Arteriovenous fistula of the lung. The Annals of thoracic surgery. 1983;36(2):231-9.
Mansour KA, Hatcher Jr CR, Logan Jr WD, Abbott OA. Pulmonary arteriovenous fistula. The American surgeon. 1971;37(4):203.
Gossage JR, Kanj G. Pulmonary arteriovenous malformations a state of the art review. American journal of respiratory and critical care medicine. 1998;158(2):643-61.
Shovlin CL, Letarte M. Hereditary haemorrhagic telangiectasia and pulmonary arteriovenous malformations: issues in clinical management and review of pathogenic mechanisms. Thorax. 1999;54(8):714-29.
Pagon RA, Bird TD, Dolan CR, Stephens K, McDonald J, Pyeritz RE. Hereditary Hemorrhagic Telangiectasia. 2000.
Guttmacher AE, Marchuk DA, White Jr RI. Hereditary hemorrhagic telangiectasia. New England Journal of Medicine. 1995;333(14):918-24.
Symbas PN, Goldman M, Erbesfeld MH, Vlasis SE. Pulmonary arteriovenous fistula, pulmonary artery aneurysm, and other vascular changes of the lung from penetrating trauma. Annals of surgery. 1980;191(3):336.
Kamei K, Kusumoto K, Suzuki T. Pulmonary amyloidosis with pulmonary arteriovenous fistula. CHEST Journal. 1989;96(6):1435-6.
Puskas JD, Allen MS, Moncure AC, Wain JC, Hilgenberg AD, Wright C, et al. Pulmonary arteriovenous malformations: therapeutic options. The Annals of thoracic surgery. 1993;56(2):253-8.
Hodgson CH, Kaye RL. Pulmonary arteriovenous fistula and hereditary hemorrhagic telangiectasia: a review and report of 35 cases of fistula. CHEST Journal. 1963;43(5):449-55.
Roman G, Fisher M, Perl DP, Poser CM. Neurological manifestations of hereditary hemorrhagic telangiectasia (rendu-osler-weber disease): Report of 2 cases and review of the literature. Annals of neurology. 2004; 4(2):130-44.
Burke CM, Safai C, Nelson DP, Raffin TA. Pulmonary arteriovenous malformations: a critical update. The American review of respiratory disease. 1986;134(2):334.
Dutton JA, Jackson JE, Hughes JM, Whyte MK, Peters AM, Ussov W, et al. Pulmonary arteriovenous malformations: results of treatment with coil embolization in 53 patients. American Journal of Roentgenology. 1995; 165(5):1119-25.
Grahmann PR, Bonnet R, Swoboda L, Nöldge G, Hasse J. Pulmonary Arteriovenous Malformations Case Reports and Literature Review. Angiology. 1994; 45(5):399-404.