[An increase in cardiopulmonary exercise tolerance after the embolization of a pulmonary arteriovenous fistula].
A 21-year-old woman suffering from increasing dyspnoea on intense physical exercise, was found to have a congenital right-sided arteriovenous pulmonary fistula. This was successfully and without complication embolized using a percutaneously introduced Gianturco wire coil. All symptoms disappeared after this procedure. Definite improvement in physical performance, in comparison with pre-embolization values, was documented by spiroergometry as early as two days later (oxygen uptake 1855 vs. 1459 ml/min; anaerobic threshold 920 vs. 790 ml/min; oxygen-pulse 10.6 vs. 8.0 ml/beat; oxygen partial pressure 77.5 vs. 67.6 mmHg; alveolar arterial oxygen difference 33 vs. 44 mm Hg). Further constant subjective and objective improvement in physical performance was demonstrated 3 months after embolization. This case confirms that embolization of a pulmonary arteriovenous fistula can rapidly achieve lasting improvement in exercise performance.
Beck
F J
FJ
Medizinische Klinik, Technische Hochschule Aachen.
Neuerburg
J
J
Sigmund
M
M
Schmitz
E
E
Günther
R W
RW
Hanrath
P
P
D000328:Adult; D001164:Arteriovenous Fistula / Q000151:congenital / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005080:Exercise Test; D017079:Exercise Tolerance; D005260:Female; D006321:Heart / Q000503:physiopathology*; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011667:Pulmonary Veins / Q000000981:diagnostic imaging; D011859:Radiography
Steigerung der kardiopulmonalen Belastbarkeit durch Embolisation einer arteriovenösen Lungenfistel.