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Eur J Cardiothorac Surg 2003;24:328-330
© 2003 Elsevier Science NL

Case report

Pulmonary arteriovenous malformation treated by lobectomy

Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petah Tiqva 49100, Israel¹

Received 7 February 2003; received in revised form 27 March 2003; accepted 31 March 2003.

^* Corresponding author. Tel.: +972-3-937-6701; fax: +972-3-924-0762
e-mail: saute{at}netvision.net.il

Pulmonary arteriovenous malformation (PAVM) may occur primarily or in association with hereditary hemorrhagic telangiectasia. We present a case of PAVM in the central lower lobe of the left lung of a 75-year-old woman, which was successfully treated by lobectomy. Contrast echocardiography is an excellent tool for evaluation of this uncommon lesion. Advances in interventional radiology have led to the introduction of obliterative techniques for the treatment of PAVM. However, in the presence of a large solitary malformation centrally located, as in our case, and in high-risk patients, surgery is still a safe and effective first option.

Key Words: Pulmonary arteriovenous malformation • Hereditary telangiectasia • Surgery