Total excision of a giant angiolipoma of chest wall with A-V malformation and with the use of an autotransfusion system.
An 18 year old girl suffering from a giant angiolipoma of back and chest wall with A-V malformation underwent total excision of the tumor in 4 stages. The first two stages included surgical ligation of the arterial blood supply to the tumor. In the third and fourth stages the tumor was resected with the use of an autotransfusion system. The last stage was complicated with massive bleeding and disseminated intravascular clotting. Control of bleeding was achieved by the use of autotransfusion system, right thoracotomy and massive transfusion of blood and its components. After long convalescence period associated with renal and respiratory failure the patient recovered completely without sequellae. This case demonstrates the complexity associated with the treatment of these rare tumors.
Deviri
E
E
Thoracic and Cardiovascular Surgery Department, Beilinson Medical Center, Tel Aviv University School of Medicine, Israel.
Levinsky
L
L
Shaklai
M
M
Lavie
G
G
Levy
M J
MJ
D000293:Adolescent; D001158:Arteries; D001164:Arteriovenous Fistula / Q000150:complications* / Q000209:etiology / Q000601:surgery; D001366:Axillary Artery / Q000601:surgery*; D001804:Blood Transfusion, Autologous / Q000295:instrumentation*; D005260:Female; D006391:Hemangioma / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008026:Ligation; D008067:Lipoma / Q000098:blood supply / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D013899:Thoracic Neoplasms / Q000098:blood supply / Q000601:surgery*; D013908:Thoracotomy; D013909:Thorax / Q000098:blood supply*