Transcatheter closure of a huge pulmonary arteriovenous fistula with embolization coils.
A 46-year-old female with bilateral pulmonary arteriovenous fistulas was treated with Gianturco coil occlusion. The small right lung fistula was closed with a 6 mm coil, whereas the huge left lung fistula was occluded with three coils (one 10-mm and two 8-mm). Angiography 3 d later demonstrated recanalization of the left fistula. Two 8 mm coils were inserted to achieve complete obstruction again. She developed pulmonary infarction in the left lung 2 d later, which recovered without sequelae. We conclude that coil embolization for huge pulmonary arteriovenous fistula is feasible but may result in pulmonary infarction.
Liau
C S
CS
Department of Internal Medicine, National Taiwan University Hospital, Taipei.
Wang
J K
JK
Wu
M H
MH
Chu
I T
IT
D000328:Adult; D001165:Arteriovenous Malformations / Q000175:diagnosis / Q000628:therapy*; D004452:Echocardiography; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000209:etiology* / Q000628:therapy; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011859:Radiography