３ＤＣＴにより診断し胸腔鏡下切除を施行した肺動静脈ろうの一例

DOI 被引用文献3件 参考文献15件

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  • Pulmonary Arteriovenous Fistula Diagnosed by 3D-CT and Treated by Thoracoscopic Surgery: A Case Report.

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A 46-year-old woman with pulmonary arteriovenous fistula (PAVF) is presented. Plain chest X-ray film showed a homogeneous lung lesion and chest CT scan indicated a nodule with blood vessels. PAVF was suspected based on these findings, but pulmonary arteriography (PAG) could not be carried out because of iode hypersensitivity. 3D-CT was performed instead of PAG and was very useful for diagnosing this disease.<BR>The fistula existed at the periphery of right S8 and was about 15 mm in diameter. Therefore thoracoscopic resection was carried out. This technique for PAVF allowed preservation of pulmonary function with reduced surgical stress. Thoracoscopic resection should be the first choice of treatment for PAVF, especially for that in the periphery of the lung.

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