Intracerebral hemorrhage after lung lobectomy in patients with congenital pulmonary artero-venous malformation (AVM).

A 13-year-old boy was diagnosed with isolated congenital pulmonary AV fistula at the left lower lobe of the lung. He was operated for left lower lobe lobectomy. 18 hours after the operation, the patient developed intracerebral and intraventricle hemorrhage with hydrocephalus and brain edema. As a result he was operated on again for a ventriculoperitoneal shunt. 5 months after the operation. Brain MRI was done and indicated a suspected AVM at pineal region. 6 months after the operation, he reported normal health condition and could regularly perform daily activities including exercises.