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Eur J Cardiothorac Surg 2004;25:461
© 2004 Elsevier Science NL

Images in cardio-thoracic surgery

Bilateral pulmonary arteriovenous malformations in patient with Rendu–Osler–Weber disease

Robert Lischke*, Jan Simonek, Alan Stolz, Pavel Pafko

Thoracic and Lung Transplantation Division, 3rd Department of Surgery, University Hospital Motol, Prague, Czech Republic

Received 4 November 2003; accepted 15 December 2003.

* Corresponding author. Address: V uvalu 84, Prague 5, 150 00 Prague, Czech Republic. Tel.: +420-22-44-38-031; fax: +420-22-44-38-020
e-mail: robert.lischke{at}seznam.cz

Key Words: Pulmonary arteriovenous malformation • Rendu–Osler–Weber disease • Pulmonary arteriography

A 33-year-old female with history of two consecutive brain abscesses evacuations was referred for further workup. Pulmonary arteriovenous fistulas resulting from Rendu–Osler–Weber disease were identified as source of septic emboli. Diagnosis was made by CT and pulmonary arteriography (Fig. 1a and b) . The patient was treated with left lower (Fig. 2) and right middle lobectomy.



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  		Fig. 1. (a) Arteriography of right pulmonary artery showing AV malformation in middle lobe. (b) Arteriography of left pulmonary artery showing AV malformation in lower lobe.

 


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  		Fig. 2. Detail view on AV malformation in left lower lobe.

 




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