title: [A case of pulmonary arteriovenous fistula accompanied with marked polycythaemia].
abstract: 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.
authors.affiliation: Department of Surgery, Shinshu University School of Medicine.
authors.forename: M
authors.initials: M
authors.lastname: Haniuda
authors.forename: M
authors.initials: M
authors.lastname: Morimoto
authors.forename: O
authors.initials: O
authors.lastname: Kobayashi
authors.forename: H
authors.initials: H
authors.lastname: Nishimura
authors.forename: F
authors.initials: F
authors.lastname: Iida
authors.forename: S
authors.initials: S
authors.lastname: Oguchi
authors.forename: A
authors.initials: A
authors.lastname: Furihata
authors.forename: Y
authors.initials: Y
authors.lastname: Sasaki
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications*; D006801:Humans; D008297:Male; D011086:Polycythemia / Q000150:complications*; D011651:Pulmonary Artery; D011667:Pulmonary Veins