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Eur J Cardiothorac Surg 2001;20:196
© 2001 Elsevier Science NL


Images in cardio-thoracic surgery

Pulmonary arteriovenous fistula

Olgun Kadir Aribasa, Niyazi Görmüsb

a Department of Thoracic Surgery, School of Medicine, University of Selcuk, Konya, Turkey
b Department of Cardiovasculary Surgery, School of Medicine, University of Selcuk, Konya, Turkey

Received 20 February 2001; accepted 5 April 2001.

Corresponding author. Tel.: +90-332-3232600/1844; fax: +90-332-3232643
e-mail: olgun{at}selcuk.edu.tr

A 62-year-old female patient admitted because of recurrent hemoptysis and cough. Chest X-ray showed a 2 cm in diameter, lobulated solitary pulmonary nodul which attached to the right hilar structures. Computed tomography (CT) demonstrated this lesion as dilated vascular connections (Fig. 1) . Magnetic resonance angiography confirmed this diagnosis and delineated a single, central arteriovenous aneurysm draining from anterior segmental branch of the superior pulmonary artery to the superior pulmonary vein (Fig. 2) . Upper lobectomy of right lung was performed on for pulmonary arteriovenous fistula and middle lobectomy for bronchiectasis. Postoperatively she remained well.



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Fig. 1. CT scan of the chest demonstrating the lesion as a dilated vascular connection.

 


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Fig. 2. MR angiography showing a fistula that presents an arteriovenous aneurysm at the upper lobe of the right lung.

 




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