Asian Cardiovasc Thorac Ann 2006;14:412-415
© 2006 Asia Publishing EXchange Ltd
Thoracoscopic Surgery for Pulmonary Arteriovenous Malformation
Jun Nakajima, MD,
Shinichi Takamoto, MD,
Eriho Takeuchi, MD,
Takeshi Fukami, MD,
Atsushi Sano, MD
Department of Cardiothoracic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan
For reprint information contact: Jun Nakajima, MD Tel: 81 33 815 5411 Ext. 33321 Fax: 81 35 684 3989 Email: nakajima-tho{at}h.u-tokyo.ac.jp, Department of Cardiothoracic Surgery, Faculty of Medicine, The University of Tokyo 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
We report 6 consecutive cases of pulmonary arteriovenous malformation in the periphery of the lung, which were treated successfully by thoracoscopy. Pulmonary wedge resection was performed with a linear cutting stapler to divide the feeding artery, drainage vein, and aneurysmal lesion of the arteriovenous malformation. Operative time ranged from 30 to 95 min (mean, 50 min). Bleeding was minimal in all cases. No major surgery-related complications were observed. Postoperative hospital stay was limited to one week except for one patient who had experienced a brain infarction preoperatively, caused by migration of an embolization coil. Histological examination confirmed that the arteriovenous malformation foci were completely removed. Pulmonary wedge resection through thoracoscopy is feasible as an alternative treatment for arteriovenous malformation located in the periphery of the lung parenchyma when pulmonary embolization therapy is difficult or unsuccessful.
Copyright © 2006 by the Asia Publishing EXchange Ltd.
