[A case of 67-year-old female with multiple giant pulmonary arteriovenous fistula combined with mitral regurgitation].
The patient was a 67-year-old female, complaining of cyanosis, clubbed finger and anoxic spell-like symptom. She was diagnosed as pulmonary arteriovenous fistula combined with mitral regurgitation. The fistula was giant and multiple, and was located in the right middle-lower lobe. Right to left shunt ratio was 27%, SO2 was 58.2%, %VC was 60%, mean pulmonary arterial pressure was 19 mmHg. Mitral regurgitation was mild (II). Ligation of the middle-lower branch of right pulmonary artery and the right lower pulmonary vein was performed through a median sternotomy. All of her symptom improved.
Tokunaga
S
S
Division of Cardiovascular Surgery, Kyushu University School of Medicine.
Masuda
M
M
Umesue
M
M
Nishida
T
T
Maruyama
Y
Y
Matusuzaki
K
K
Asou
T
T
Mayumi
H
H
Kinoshita
K
K
Kawachi
Y
Y
D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications / Q000151:congenital / Q000601:surgery*; D005260:Female; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000601:surgery; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery