Successful Treatment of a Large Pulmonary Arteriovenous Malformation by Repeated Coil Embolization

Tuberculosis and Respiratory Diseases

article

Jimyung Park¹  Hyung-Jun Kim¹  Jee min Kim¹  Young Sik Park¹ 

[1] Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital

关键词: Arteriovenous Malformations;    Embolization;    Therapeutic;    Pulmonary Artery;    Pulmonary Veins;   

DOI  :  10.4046/trd.2015.78.4.408

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Pulmonary arteriovenous malformations (AVMs) are caused by abnormal vascular communications between the pulmonary arteries and pulmonary veins, which lead to the blood bypassing the normal pulmonary capillary beds. Pulmonary AVMs result in right-to-left shunts, resulting in hypoxemia, cyanosis, and dyspnea. Clinical signs and symptoms vary depending on the size, number, and flow of the AVMs. Transcatheter embolization is the treatment of choice for pulmonary AVMs. However, this method can fail if the AVM is large or has multiple complex feeding arteries. Surgical resection is necessary in those kind of cases. Here, we report the case of a patient with a 6-cm pulmonary AVM with multiple feeding arteries that was successfully treated by repeated coil embolization without surgery.

【 授权许可】

CC BY-NC