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Home > Journals > Italian Journal of Vascular and Endovascular Surgery > Past Issues > Italian Journal of Vascular and Endovascular Surgery 2005 December;12(4) > Italian Journal of Vascular and Endovascular Surgery 2005 December;12(4):139-42

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CURRENT ISSUEITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery

Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus

Frequency: Quarterly

ISSN 1824-4777

Online ISSN 1827-1847

 

Italian Journal of Vascular and Endovascular Surgery 2005 December;12(4):139-42

    CLINICAL CASES

Embolotherapy of large pulmonary arteriovenous malformation

Caronno R. 1, Piffaretti G. 1, Tozzi M. 1, Lomazzi C. 1, Laganà D. 2, Carrafiello G. 2, Cuffari S. 3, Castelli P. 1

1 Unit of Vascular Surgery, Department of Surgery University of Insubria, Varese, Italy
2 Department of Radiology University of Insubria, Varese, Italy
3 Unit of Anesthesia and Palliative Care University of Insubria, Varese, Italy

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.

language: English


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