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혈관 색전술의 위험성의 높은 폐동정맥 기형의 수술적 절제

Surgical Resection of PAVMs (Pulmonary Arterio-Venous Malformations) with High Risk of Embolotherapy - Case Report -

건양의대학술지 2004년 4권 2호 p.201 ~ 203
김영진, 조현민, 조영준,
소속 상세정보
김영진 ( Kim Young-Jin ) - 건양대학교 의과대학 흉부외과학교실
조현민 ( Cho Hyun-Min ) - 건양대학교 의과대학 흉부외과학교실
조영준 ( Cho Young-Jun ) - 건양대학교 의과대학 영상의학교실

Abstract


Pulmonary arteriovenous malformations (PAVMs) are thin walled aneurysm caused by abnormal communication between the pulmonary arteries and veins. They may occur primarily or in association with hereditary hemorrhagic telangiectasia (HHT). They act as direct right-to-left shunts, resulting in dyspnea, fatigue, cyanosis, and polycythemia when the shunt is large. Although embolotherapy, using detachable balloons or stainless steel coils, is generally accepted as the best choice for patients with multiple PAVMs, treatment for the solitary PAVMs remains a subject of debate. We present 43-year-old woman with a large solitary PAVM centrally located and in high risk of percutaneous transcatheter embolization. She underwent successful surgical resection (right middle lobectomy) without complications.

키워드

PAVMs;embolotherapy;surgical resection

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