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Abstract

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Article in Japanese

Case Report

A case of recurrence of pulmonary arteriovenous fistula diagnosed by a brain abscess 28 years after transcatheter coil embolization

Manami Urakawaa  Noriko Takedab  Ryuhei Moritac  Takuya Tanimurac  Takayuki Yamamotod  Hideyasu Omiyab 

aClinical Resident Section, Higashisumiyoshi Morimoto Hospital
bDepartment of Respiratory Medicine, Higashisumiyoshi Morimoto Hospital
cGeneral Thoracic Surgery, Higashisumiyoshi Morimoto Hospital
dDepartment of Cardiology, Higashisumiyoshi Morimoto Hospital

ABSTRACT

A 57-year-old woman was admitted to our hospital because of right hemiplegia. She was diagnosed with a left frontal lobe brain abscess with head CT/MRI, and her condition improved with antibiotics and drainage. She had a history of coil embolization for bilateral inferior pulmonary arteriovenous fistula (PAVF) 28 years previously. Pulmonary arteriography revealed recanalization of the PAVF in the lower left lobe and two untreated lesions in the left lung. Since the PAVF in the lower left lobe had two large feeding arteries and was large in diameter, we surgically resected all these lesions.

KEYWORDS

Pulmonary arteriovenous fistula (PAVF)  Brain abscess  Hereditary hemorrhagic telangiectasia (HHT) 

Received 16 Jan 2020 / Accepted 28 Sep 2020

AJRS, 10(1): 92-96, 2021

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