title: Left pulmonary artery banding to repair ipsilateral diffuse pulmonary arteriovenous fistula.
abstract: Congenital pulmonary arteriovenous fistula (PAVF) is a rare disease which causes hypoxemia by shunting deoxygenated blood from the pulmonary artery into pulmonary venous return. Lung transplantation is the most effective therapy to treat severe, diffuse PAVF. However, the availability of lungs for transplantation is limited in most parts in the world. For patients with diffuse PAVF affecting only one side of the lungs, ipsilateral pulmonary artery banding (PAB) is an effective treatment, but not yet standard of care. We report successful treatment of a patient with diffuse left-sided PAVF with PAB. We believe that PAB is an effective therapy for severe unilateral PAVF and may serve as a bridge to lung transplantation.
authors.affiliation: Department of Pediatrics, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto City, Kyoto 6068507, Japan.
authors.forename: Takuya
authors.initials: T
authors.lastname: Hirata
authors.forename: Kentaro
authors.initials: K
authors.lastname: Akagi
authors.forename: Shiro
authors.initials: S
authors.lastname: Baba
authors.forename: Fumitoshi
authors.initials: F
authors.lastname: Tsurumi
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nakata
authors.forename: Tadashi
authors.initials: T
authors.lastname: Ikeda
authors.forename: Hiraku
authors.initials: H
authors.lastname: Doi
mesh_terms: D001164:Arteriovenous Fistula / Q000601:surgery*; D006328:Cardiac Catheterization; D002648:Child; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*