Abiko M, Ooizumi H, Aoyama K, Yuki Y, Murai K, Masaoka T, Fujishima T, Fukasawa M, Washio M
Second Department of Surgery, Yamagata University School of Medicine, Japan.
Kyobu Geka. 1993 Jul;46(8 Suppl):721-3.
The hemothorax due to rupture of arteriovenous fistula is very rare and only 6 cases of this complication have been reported in Japanese literature. 44-year-old male complained of chest pain and dyspnea. A chest roentgenogram revealed right pleural effusion and an abnormal pulmonary shadow. By further examination including pulmonary angiography, the rupture of pulmonary arteriovenous fistula into right pleural cavity was diagnosed. Partial resection of the right lung containing arteriovenous fistula was successfully performed and postoperative course was uneventful.
动静脉瘘破裂导致的血胸非常罕见,日本文献中仅报道过6例这种并发症。一名44岁男性主诉胸痛和呼吸困难。胸部X光片显示右侧胸腔积液和肺部异常阴影。通过包括肺血管造影在内的进一步检查,诊断为肺动静脉瘘破裂进入右侧胸腔。成功地对包含动静脉瘘的右肺进行了部分切除,术后病程顺利。