Eur J Cardiothorac Surg 2001;20:196
© 2001 Elsevier Science NL
Images in cardio-thoracic surgery |
Pulmonary arteriovenous fistula
Olgun Kadir Ariba
a,
Niyazi Görmü
b
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.

View larger version (128K):
[in this window]
[in a new window]
|
Fig. 2. MR angiography showing a fistula that presents an arteriovenous aneurysm at the upper lobe of the right lung.
|
|