[A case of pulmonary arteriovenous fistula accompanied with marked polycythaemia].
A 67-year-old male was admitted with cyanosis, digital clubbing and exertional dyspnea. Laboratory data revealed severe polycythaemia with 26 mg/dl hemoglobin, red blood cell; 866 x 10(-4)/mm3, hematocrit 72.8% and PaO2 44.6 mmHg. Selective pulmonary angiography demonstrated a large arteriovenous fistula involving the right middle lobe. After venesection of 1,200 ml of blood, the middle lobectomy was performed safely. In a case of pulmonary arteriovenous fistula with such severe polycythaemia, preoperative venesection is useful to decrease perioperative complications.
Haniuda
M
M
Department of Surgery, Shinshu University School of Medicine.
Morimoto
M
M
Kobayashi
O
O
Nishimura
H
H
Iida
F
F
Oguchi
S
S
Furihata
A
A
Sasaki
Y
Y
D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications*; D006801:Humans; D008297:Male; D011086:Polycythemia / Q000150:complications*; D011651:Pulmonary Artery; D011667:Pulmonary Veins