Hsu P-K, Hsu W-H, Wu Y-C
Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital, 112 Taipei, Taiwan, Republic of China.
Thorac Cardiovasc Surg. 2009 Oct;57(7):434-6. doi: 10.1055/s-2008-1038990. Epub 2009 Sep 30.
A centrally located large pulmonary arteriovenous malformation (PAVM) with aneurysmal formation is uncommon and the optimal treatment remains unclear. Here we report a 63-year-old female with a large PAVM located in the pulmonary hilum presenting with dyspnea and a brain abscess. A muscle-sparing thoracotomy with lobectomy of the left upper lobe was successfully performed under the guidance of three-dimensional reconstruction imaging of the thoracic vasculature.
中央型伴有动脉瘤形成的大型肺动静脉畸形（PAVM）并不常见，最佳治疗方案仍不明确。在此，我们报告一名63岁女性，其肺门处有一个大型PAVM，表现为呼吸困难和脑脓肿。在胸部血管三维重建成像的引导下，成功实施了保留肌肉的开胸手术并切除了左上叶。
