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KMID : 0364019950280050495
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 5 p.495 ~ p.498
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Acquired Pulmonary Arteriovenous Fistula -A Case of Report-
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Abstract
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Pulmonary arteriovenous fistula can be either congenital or acquired. The vast majority are congenital, and about 60% have been associated with hereditary hemorrhagic telangiectasia (Rendu-OslerWeber disease). Secondary or acquired pulmonary
arteriovenous fistula occurs with trauma, schistosomiasis, long-standing hepatic cirrhosis, metastatic carcinoma, and actinomycosis. Pulmonary hemorrhage secondary to acquired pulmonary arteriovenous fistula is a rare event associated with
mortality.
We have experienced 64 year-old female patient with the hemoptysis secondary to acquired pulmonary arteriovenous fistula due to the infection of pulmonary parasite. The chest PA and CT scan was showed calcified nodule to the distal portion of
lateral
segmental bronchus of RML. The bronchial angiogram was demonstrated slightly hypertrophied bronchial artery supplying RML bronchus and the presence of hypervascularization around the calcified nodule, rapid A-V shunting is noted by fluoroscopy.
The
patient was successfully treated by the right middle lobectomy.
(Korean J Thorac Cardiovasc Surg 1995;28:495-8)
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