We report a rare case of a large pulmonary arteriovenous malformation of the left lung in a young female patient, successfully managed with coils embolization. A young 45-year female patient was referred at our department due to cyanosis, clubbing and exertional dyspnea noted during a routine evaluation. Gas analysis showed pH 7.38, pO2 73.3 mmHg, pCO2 38.4 mmHg. The patient first underwent a complete diagnostic radiological work-up with chest X-rays and CT-angiography; preliminary pulmonary digital subtraction angiography was performed and revealed a large vessel feeding a large arteriovenous fistula 4 × 5 cm, occupying the lower lobe of the left lung. Feeding vessels were embolized with platinum coils. Blood saturation improved from 85% preoperatively to 97% postoperatively. She was discharged uneventful the day after. Embolotherapy provides potential advantages over surgical intervention, including lower invasiveness, postprocedural pain and morbidity, and shorter hospital stays.
Embolotherapy of large pulmonary arteriovenous malformation / R. Caronno, G. Piffaretti, M. Tozzi, C. Lomazzi, D. Laganà, G. Carrafiello, S. Cuffari, P. Castelli. - In: ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY. - ISSN 1824-4777. - 12:4(2005), pp. 139-142.
|Titolo:||Embolotherapy of large pulmonary arteriovenous malformation|
|Parole Chiave:||Arteriovenous malformation; Brain abscess; Coils embolization; Embolotherapy; Pulmonary artery|
|Settore Scientifico Disciplinare:||Settore MED/36 - Diagnostica per Immagini e Radioterapia|
|Data di pubblicazione:||2005|
|Appare nelle tipologie:||01 - Articolo su periodico|