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- Title
Is Surgery Still an Option in Pulmonary Arteriovenous Malformations Management?
- Authors
Nehme, Karim; Karam, Lamisse; Nakad, Joseph; Saad, Nader; Tabet, Georges
- Abstract
Pulmonary arteriovenous malformations (PAVMs) are fistulous connections between pulmonary arteries and veins, associated with hereditary hemorrhagic telangiectasia. It can be associated with a wide range of complications. Contrast-enhanced computed tomography is the best noninvasive diagnosis modality. Treatment is recommended for symptomatic patients or those having a feeding artery diameter superior to 3 mm. We present here the case of a 69-year-old man with a complex PAVM, peripherally localized with a feeding artery diameter bigger than 3 mm intentionally treated via an open middle lobe wedge resection via axillary mini thoracotomy over embolotherapy, showing that it comes with less risk and at a lower cost.
- Subjects
ARTERIOVENOUS malformation; HEREDITARY hemorrhagic telangiectasia; NONINVASIVE diagnostic tests; PULMONARY veins; PULMONARY artery; THORACOTOMY
- Publication
Dubai Medical Journal, 2023, Vol 6, Issue 4, p315
- ISSN
2571-726X
- Publication type
Case Study
- DOI
10.1159/000534409