Fistulectomy as a surgical option for pulmonary arteriovenous malformation.
- Author:
Shao-yan ZHANG
1
;
Zhi-tai ZHANG
;
Song-lei OU
;
Yan-sheng HU
;
Fei-qiang SONG
;
Xin LI
;
Xu-chen MA
;
Xin-xin MA
;
Lin LIANG
;
Dong LI
;
Lin GUO
;
Zhen SUN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Arteriovenous Malformations; pathology; surgery; Child; Female; Fistula; surgery; Humans; Male; Middle Aged; Pneumonectomy; Pulmonary Artery; abnormalities; Pulmonary Veins; abnormalities
- From: Chinese Medical Journal 2009;122(19):2321-2324
- CountryChina
- Language:English
-
Abstract:
BACKGROUNDSurgical resection remains the treatment of choice for pulmonary arteriovenous malformation but removes some normal lung parenchyma. This study aimed to evaluate the effect and safety of the lung-saving procedure of fistulectomy as an alternative to lung resection.
METHODSFrom July 2003 to July 2008, 6 selected patients with pulmonary arteriovenous malformations underwent fistulectomies. Among them, 1 patient underwent emergency operation and 2 underwent bilateral operations. One patient received postoperative embolotherapy.
RESULTSNo hospital deaths or postoperative morbidity occurred. PaO2 increased significantly after operation. All patients were free of symptoms and hypoxia during a follow-up for 9 months to 5 years.
CONCLUSIONSFistulectomy is a safe and effective procedure for patients with pulmonary arteriovenous malformation and may be an alternative to lung resection.
