イチキ　ヨシノブ   ICHIKI Yoshinobu   市来　嘉伸    所属   埼玉医科大学  医学部 国際医療センター　呼吸器外科    職種   専任講師
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Surgical management of pulmonary arteriovenous fistula in a female patient.
掲載誌名	正式名：International journal of surgery case reports
巻・号・頁	7C,54-7頁
著者・共著者	Yoshinobu Ichiki,Junji Kawasaki,Takayuki Hamatsu,Taketoshi Suehiro,Makiko Koike,Fumihiro Tanaka,Keizo Sugimachi
発行年月	2015
概要	INTRODUCTION: We herein describe a rare case of a pulmonary arteriovenous fistula (PAVF). PRESENTATION OF CASE: The patient was a 20-year-old asymptomatic female, admitted to our hospital because of an abnormal shadow in the right lung field on chest X-rays. Chest computed tomography (CT) revealed two nodules with well-defined margins in the right upper and lower lobes. Contrast-enhanced three-dimensional CT (3D-CT) revealed two enhanced solitary lung nodules which were connected with linear structures suggestive of feeding arteries and drainage veins, respectively. Based on these findings, we made a preoperative diagnosis of PAVF. We performed partial pulmonary resection of the right upper and lower lobes by video-assisted thoracoscopic surgery (VATS). The histopathological findings revealed small and medium-sized vascular channels composed of arteries with mild and irregularly thickened muscle walls and juxtaposed or seemingly anastomosing dilated veins. Based on these findings, a diagnosis of PAVF was confirmed. The patient had an uneventful postoperative course. DISCUSSION: A PAVF is often associated with various complications, and pregnancy could be a risk factor for these com
DOI	10.1016/j.ijscr.2014.12.006
PMID	25579986