Fistulectomy as an alternative to segmentectomy for pulmonary arteriovenous fistula Carsten Schröder, MDa, Gabriele Fröhlich, MDa, Claus-Peter Harms,

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Presentation transcript:

Fistulectomy as an alternative to segmentectomy for pulmonary arteriovenous fistula Carsten Schröder, MDa, Gabriele Fröhlich, MDa, Claus-Peter Harms, MDb, Matthias Kleckow, MDb, Paolo Macchiarini, MD, PhDa The Journal of Thoracic and Cardiovascular Surgery Volume 122, Issue 2, Pages 386-388 (August 2001) DOI: 10.1067/mtc.2001.113742 Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Plan chest radiograph showing a single nodule in the upper lobe of the left lung in our patient with a persistent neurologic defect and hypoxemia. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 386-388DOI: (10.1067/mtc.2001.113742) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Preoperative pulmonary angiogram showing a bilobed AV fistula whose feeding artery and vein arise from the upper lobe vascular branches. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 386-388DOI: (10.1067/mtc.2001.113742) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 A, Intraoperative macroscopic view of the pilmonary AV fistula (black arrow) located in the subpleural space between the fourth and fifth upper lobe segments. B, Isolation and progressive dissection of the pulmonary AV fistula in the connective stroma plane lying between the wall of the fistula (black arrow) and the bed of the surrounding (white arrows) normal lung. The view is through a posterolateral left thoracotomy. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 386-388DOI: (10.1067/mtc.2001.113742) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Postoperative pulmonary angiogram showing a normal distribution of the branches of the left pulmonary artery. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 386-388DOI: (10.1067/mtc.2001.113742) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions