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Pediatric Cardiology 2002A case report of a patient with a large pulmonary arteriovenous fistula and valvar pulmonary stenosis is presented. The fistula was diagnosed prenatally and its effect... (Review)
Review
A case report of a patient with a large pulmonary arteriovenous fistula and valvar pulmonary stenosis is presented. The fistula was diagnosed prenatally and its effect on in utero cardiovascular growth and development documented. Due to concerns about massive intrapulmonary shunting potentially causing profound cyanosis after delivery, an EXIT (EX-utero Intrapartum Treatment) procedure was used to transfer the infant from placental to extracorporeal membrane oxygenation (ECMO) support. Severe pulmonary microvascular disease resulted in prohibitive pulmonary hypertension despite surgical ligation of the fistula. Prenatal and postnatal hemodynamic assessments of the fistula are presented and are compared to the pathologic findings.
Topics: Arteriovenous Fistula; Echocardiography; Female; Fetus; Humans; Lung; Pregnancy; Pulmonary Veins; Vascular Neoplasms
PubMed: 12170365
DOI: 10.1007/s00246-002-0127-2 -
Thoracic Cancer Jul 2023A 52-year-old female never-smoker with an abnormal shadow in the right lung detected on radiography was referred to our institution. Contrast-enhanced computed... (Review)
Review
A 52-year-old female never-smoker with an abnormal shadow in the right lung detected on radiography was referred to our institution. Contrast-enhanced computed tomography revealed an irregular nodule in the upper lobe of the right lung, suggestive of a pulmonary vascular abnormality. Angiography revealed a direct communication between the right internal mammary artery (IMA) and the right upper lobe pulmonary artery branches, with dilated and tortuous vascular proliferation. As multiple branch arteries were seen flowing into the upper lobe from the IMA, transcatheter selective embolization of these vessels and right upper lobectomy by video-assisted thoracoscopic surgery were performed. Contrary to the clinical diagnosis, the pathological finding was a pulmonary adenocarcinoma of the right upper lobe. Additional lymph node dissection was performed later. We report an extremely rare and unprecedented case of pulmonary adenocarcinoma fed by the right IMA, with a literature review.
Topics: Female; Humans; Middle Aged; Pulmonary Artery; Pneumonectomy; Lung; Adenocarcinoma of Lung; Lung Diseases; Lung Neoplasms; Fistula
PubMed: 37308179
DOI: 10.1111/1759-7714.14985 -
United States Armed Forces Medical... Oct 1954
Topics: Arteriovenous Fistula; Humans; Lung; Pulmonary Artery; Pulmonary Veins
PubMed: 13196248
DOI: No ID Found -
The British Journal of Radiology Nov 1952
Topics: Arteriovenous Fistula; Lung; Pulmonary Artery; Pulmonary Veins
PubMed: 12987630
DOI: 10.1259/0007-1285-25-299-614 -
British Heart Journal Jan 1954
Topics: Arteriovenous Fistula; Humans; Lung
PubMed: 13126356
DOI: 10.1136/hrt.16.1.34 -
Mayo Clinic Proceedings Mar 1983Previously reported from our institution has been a series of 63 patients with pulmonary arteriovenous fistula who were seen from Jan. 1, 1952, through Dec. 31, 1972....
Previously reported from our institution has been a series of 63 patients with pulmonary arteriovenous fistula who were seen from Jan. 1, 1952, through Dec. 31, 1972. Subsequently, we have seen 38 additional patients during the 8 1/2-year period from Jan. 1, 1973, through June 1981. The series includes three patients with hereditary telangiectasia who had bilateral pulmonary arteriovenous fistulas removed at two separate thoracotomies. Our report also includes a brief description of five additional patients with acquired systemic artery-to-pulmonary artery fistula who underwent miniballoon occlusion of the fistula. We are including these five cases because we believe this therapeutic catheterization technique may be of particular value in patients with multiple or bilateral pulmonary arteriovenous malformations and may obviate extensive pulmonary resection and repeat thoracotomy. Pulmonary arteriovenous fistula is believed to occur most often in middle-aged women who have associated Rendu-Osler-Weber syndrome, but most of our patients did not have hereditary hemorrhagic telangiectasia. Twenty-three (36.5%) of the 63 patients in a previous Mayo Clinic series and 18 (47%) of the 38 in the present series had associated Rendu-Osler-Weber syndrome. A logical workup of a patient with pulmonary arteriovenous fistula includes, in sequential fashion based on priority, chest roentgenography and tomography, arterial blood gas measurements, contrast echocardiography with indocyanine green dye, angiography, and measurement of differential pulmonary venous oxygen content.
Topics: Adolescent; Adult; Age Factors; Aged; Angioplasty, Balloon; Arteriovenous Fistula; Arteriovenous Malformations; Child; Child, Preschool; Female; Humans; Lung; Male; Middle Aged; Radiography; Sex Factors; Telangiectasia, Hereditary Hemorrhagic
PubMed: 6219255
DOI: No ID Found -
Revista Espanola de Enfermedades... Jan 2024We present a case of a 65-year-old male who experienced posterior sternal pain, accompanied by a week-long fever following the consumption of fish. Computed tomography...
We present a case of a 65-year-old male who experienced posterior sternal pain, accompanied by a week-long fever following the consumption of fish. Computed tomography (CT) examination revealed a fish bone in the middle esophageal, along with a small amount of gas in the mediastinum. A focal pseudoaneurysm formation was observed in the posterior wall of the left pulmonary artery trunk, accompanied by the presence of gas and septic emboli in the main trunk of the left pulmonary artery and some of its branches. Furthermore, distal pulmonary tissue infarction with associated infection was observed (Figure 1A-F). Clinical diagnosis: Esophago-pulmonary artery fistula caused by fish bone impaction. Reports of esophago-pulmonary artery fistulas without involvement of the trachea or bronchi are rare.
Topics: Male; Animals; Pulmonary Artery; Esophageal Fistula; Lung; Vascular Diseases
PubMed: 37366031
DOI: 10.17235/reed.2023.9761/2023 -
European Journal of Cardio-thoracic... 1992
Topics: Aged; Anastomosis, Surgical; Fistula; Heart Aneurysm; Heart Ventricles; Humans; Lung; Male; Pneumonectomy; Postoperative Complications; Reoperation; Surgical Wound Dehiscence; Thoracotomy
PubMed: 1497933
DOI: 10.1016/1010-7940(92)90180-6 -
Surgery, Gynecology & Obstetrics Oct 1978Pulmonary sequestration is an uncommon congenital abnormality in which nonfunctioning lung tissue is supplied by an anomalous systemic artery. Both the extralobar and... (Review)
Review
Pulmonary sequestration is an uncommon congenital abnormality in which nonfunctioning lung tissue is supplied by an anomalous systemic artery. Both the extralobar and intralobar forms probably develop from an accessory lung bud from the primitive foregut. Both forms are situated on the left side in about two-thirds of patients. The anomalous arterial supply usually originates from the descending thoracic aorta, and there may be a large left-to-left or left-to-right shunt through the sequestration. The sequestration may have a fistulous communication with the upper gastrointestinal tract. Congenital anomalies, particularly diaphragmatic hernia, are frequently associated with the extralobar form. Intralobar sequestration occasionally is an incidental finding on roentgenograms of the chest in an asymptomatic patient; however, the disorder is usually symptomatic and the most common presentation is recurrent pulmonary infection. Presentation may be characterized by gastrointestinal symptoms, congestive heart failure, hemoptysis or hemothorax. Extralobar sequestration is usually an incidental finding on routine roentgenograms of the chest or during the management of some other congenital anomaly. Infrequently, extralobar sequestration presents with symptoms similar to those seen with the intralobar form. Roentgenograms of the chest, upper gastrointestinal series and arteriography are the most helpful diagnostic aids. The usual treatment is resection of the sequestration by removal of only the sequestration in patients with the extralobar form and by lobectomy or segmental resection in patients with the intralobar form. The reported results of operation have generally been excellent.
Topics: Abnormalities, Multiple; Bronchopulmonary Sequestration; Esophageal Fistula; Fistula; Humans; Lung; Stomach Diseases
PubMed: 360452
DOI: No ID Found -
The American Journal of Physiology Jun 1951
Topics: Arteriovenous Fistula; Fistula; Humans; Lung; Pulmonary Artery; Pulmonary Veins
PubMed: 14846970
DOI: 10.1152/ajplegacy.1951.165.3.513