Thorac Cardiovasc Surg 2009; 57(3): 174-176
DOI: 10.1055/s-2008-1038695
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Simultaneous Treatment of Pulmonary AV Malformation with Rheumatic Heart Disease

H. Kondoh1 , F. Sato2 , H. Shintani1
  • 1Department of Cardiovascular Surgery, Otemae Hospital, Osaka, Japan
  • 2Department of Cardiology, Otemae Hospital, Osaka, Japan
Further Information

Publication History

received February 13, 2008

Publication Date:
27 March 2009 (online)

Abstract

Only 13 cases of pulmonary arteriovenous malformation (PAVM) combined with rheumatic heart disease have been reported, and only 3 have been treated simultaneously by surgery. Transcatheter embolotherapy, the first-line treatment of PAVM, avoids major surgery, general anesthesia, and the loss of pulmonary parenchyma, but the subsequent PAVM reperfusion can occur through recanalization of the embolized arteries. We report a case of PAVM with rheumatic heart disease, in which both diseases were simultaneously treated by surgery.

References

  • 1 Metras D, Coulibaly A O, Ouattara K, N'Dori R. Pulmonary arteriovenous fistula coexisting with rheumatic mitral disease. Simultaneous successful correction under cardiopulmonary bypass in one case. Review of the literature.  Thorac Cardiovasc Surg. 1984;  32 64-66
  • 2 Lee P K, So S Y, Chow J S. An unusual cause of central cyanosis in a patient with rheumatic heart disease.  Thorax. 1986;  41 333-334
  • 3 Inoue T, Wakaki N, Oku H. A successful surgical repair of mitral stenosis and regurgitation with pulmonary arteriovenous fistula.  Jpn J Thorac Cardiovasc Surg. 1998;  46 757-761
  • 4 Gossage J R, Kanj G. Pulmonary arteriovenous malformations. A state of the art review.  Am J Respir Crit Care Med. 1998;  158 643-661
  • 5 Lee D W, White Jr R I, Egglin T K. et al . Embolotherapy of large pulmonary arteriovenous malformations: long-term results.  Ann Thorac Surg. 1997;  64 930-939 939-940
  • 6 Lacombe P, Lagrange C, El Hajjam M, Chinet T, Pelage J P. Reperfusion of complex pulmonary arteriovenous malformations after embolization: report of three cases.  Cardiovasc Intervent Radiol. 2005;  28 30-35
  • 7 Puskas J D, Allen M S, Moncure A C. et al . Pulmonary arteriovenous malformations: therapeutic options.  Ann Thorac Surg. 1993;  56 253-257
  • 8 Sapru R P, Hutchison D C, Hall J I. Pulmonary hypertension in patients with pulmonary arteriovenous fistulae.  Br Heart J. 1969;  31 559-569

Dr. MD Haruhiko Kondoh

Department of Cardiovascular Surgery
Otemae Hospital

1-5-34, Otemae, Chuo-ku

540-0008 Osaka

Japan

Email: haruhk@wa3.so-net.ne.jp