Subject(s)
Arteriovenous Malformations , Pneumonectomy/methods , Pulmonary Artery/abnormalities , Pulmonary Veins/abnormalities , Thoracoscopy/methods , Adult , Angiography/methods , Arteriovenous Malformations/blood , Arteriovenous Malformations/diagnosis , Arteriovenous Malformations/physiopathology , Arteriovenous Malformations/surgery , Female , Humans , Oxygen/analysis , Pulmonary Artery/diagnostic imaging , Pulmonary Veins/diagnostic imaging , Tomography, Spiral Computed/methods , Treatment OutcomeABSTRACT
The article summarizes the experience of surgical treatment of 47 patients (1964-2012 yy) with lung arteriovenous malformations (LAVM). Men were 29, women - 18. Age varied from 6 to 49 years. 20 patients had solitary lung arteriovenous malformations, the rest 27 had multiple malformations. Before 1983 the main diagnostic means was the angiopulmonography, since that the multyspiral computed tomography has been used. Before 1980 all patients received major surgical treatment, i.e., lobectomy (n=29), pneumonectomy (n=1) and 1 explorative thoracotomy. After 1980 the endovascular embolisation under the X-ray control took the leading place among the treatment options for these patients. 11 patients had 17 embolisations; the lung resection was performed only in 3 cases. All negative outcomes (4 lethal and 8 complications) were registered before the 1980. The were no lethal outcomes after the endovascular embolisation; only 3 patients had complications. All patients demonstrated satisfactory and good outcomes, considering objective parameters and quality of life early and long after the endovascular embolisation.
