[Therapy of pulmonary arteriovenous aneurysm].
Connections of branches of the pulmonary artery to branches of the pulmonary vein resulting in aneurysmatic dilatation are defined as pulmonary arterio-venous aneurysm (pava). The spontaneous course shows a morbidity of 26% and a mortality of 11% within a six-year observation period following diagnosis. If there is an arterial branch with small diameter (< 15 mm) we recommend the embolisation with the catheter; this procedure is less stressing for the patient and does not involve the loss of pulmonary tissue. If the arterial branch has a big diameter, if a complex pava or a pulmonary abscess is present a conventional surgical resection should be envisaged.
Mouton
W
W
Universitätsklinik für Thorax-, Herz- und Gefässchirurgie, Inselspital Bern.
Würsten
H U
HU
Kipfer
B
B
Im Hof
V
V
Triller
J
J
Althaus
U
U
D000328:Adult; D015901:Angiography, Digital Subtraction; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008168:Lung / Q000098:blood supply*; D008297:Male; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000000981:diagnostic imaging / Q000628:therapy
Zur Therapie des pulmonalen arterio-venösen Aneurysmas.