Department of Thoracic Surgery, The First Affiliated Hospital of Kunming Medical University, Kunming, 650032, Yunnan, China.
Department of Imaging, The First Affiliated Hospital of Kunming Medical University, Kunming, 650032, Yunnan, China.
BMC Surg. 2021 Feb 23;21(1):101. doi: 10.1186/s12893-021-01103-8.
A pulmonary arteriovenous fistula (PAVF) is a rare condition that is associated with pulmonary arteriovenous malformation (PAVM). Few reports have described managing PAVMs using uniportal video-assisted thoracoscopic surgery (VATS).
A 13-year-old child with PAVF in the left inferior pulmonary artery was treated by uniportal VATS with left lower lobectomy. After surgery, hemoptysis did not recur and there were no postoperative complications. Six months after the operation, postoperative review of computerized tomography showed no recrudescence of PAVF.
PAVF is a rare case that should be diagnosed and treated early. 3D- computerized tomography (CT) reconstruction is useful for diagnosis and preoperative assessment. The case shows that PAVF can be managed with uniportal VATS.
肺动静脉瘘（PAVF）是一种罕见的疾病，与肺动静脉畸形（PAVM）有关。很少有报道描述使用单端口电视辅助胸腔镜手术（VATS）来治疗 PAVM。
一名 13 岁儿童患有左肺下肺动脉的 PAVF，采用单端口 VATS 行左下肺叶切除术治疗。手术后，咯血未再复发，无术后并发症。术后 6 个月，计算机断层扫描（CT）复查显示 PAVF 无复发。
PAVF 是一种罕见病例，应早期诊断和治疗。三维 CT（CT）重建有助于诊断和术前评估。该病例表明，PAVF 可以采用单端口 VATS 治疗。
