Document Detail


Treatment of multiple unilateral arteriovenous pulmonary fistulae by transection of the pulmonary artery.
MedLine Citation:
PMID:  6198778     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Multiple arteriovenous fistulae of the entire left pulmonary lobe were found to be the cause of increasing cyanosis on exertion and hour-glass nails in a 19-year-old patient. The right-to-left shunt amounted to 16%. The 2 possible forms of treatment were embolization of the arteriovenous fistulae or pneumonectomy. The first procedure was unsuitable because of the diffuse spread of the fistulae. In order to avoid all the early and late complications associated with a pneumonectomy, an unusual method was adopted: The left pulmonary artery was transected and the lung was left in place as a "physiological filling". Both a subjective and objective improvement could already be seen in the immediate postoperative period. At the last follow-up examination, 16 months after the operation, this was still the case.
Authors:
H Toomes; K Paul; I Vogt-Moykopf
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  32     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1984 Feb 
Date Detail:
Created Date:  1984-03-16     Completed Date:  1984-03-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  60-3     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteriovenous Fistula / complications,  radiography,  surgery*
Cyanosis / etiology
Humans
Lung / radiography
Male
Pulmonary Artery / surgery*
Pulmonary Veins*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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