Pulmonary Arteriovenous Fistula: Clinical and Histologic Spectrum of Four Cases
Journal of Pathology and Translational Medicine
; : 390-393, 2016.
Article
in En
| WPRIM
| ID: wpr-180373
Responsible library:
WPRO
ABSTRACT
Pulmonary arteriovenous fistula (PAVF) is abnormally dilated vessels that provide a right-to-left shunt between pulmonary artery and pulmonary vein and is clinically divided into simple and complex type. Here, we report four cases of surgically resected sporadic PAVFs presenting various clinical and histologic spectrums. Cases 1 (a 57-old-female) and 2 (a 54-old-female) presented as incidentally identified single aneurysmal fistulas and the lesions were surgically removed without complication. On the other hand, case 3 (an 11-old-male) showed diffuse dilated vascular sacs involving both lungs and caused severe hemodynamic and pulmonary dysfunction. Embolization and surgical resection of the main lesion failed to relieve the symptoms. Case 4 (a 36-old-male) had a localized multiloculated cyst clinically mimicking congenital cystic adenomatoid malformation. Microscopically, the lesion consisted of dilated thick vessels, consistent with the diagnosis of fistulous arteriovenous malformation/hemangioma.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Arteriovenous Malformations
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Pulmonary Artery
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Pulmonary Veins
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Cystic Adenomatoid Malformation of Lung, Congenital
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Arteriovenous Fistula
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Diagnosis
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Fistula
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Hand
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Hemodynamics
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Aneurysm
Type of study:
Diagnostic_studies
Language:
En
Journal:
Journal of Pathology and Translational Medicine
Year:
2016
Type:
Article