A case of bilateral pulmonary arteiovenous fistula treatedby thoracoscopic surgery

Abstract

A 27-year-old woman was admitted because of abnormal chest shadows. Chest CT, 3D-CT, and pulmonary angiography revealed mutiple pulmonary arteiovenous fistulas in the right S¹⁰, and left S⁸. Under thoracoscopic procedure, bilateral partial resection of the lung was performed in one session. This technique allows entire removal of the fistula with minimal surgical stress, to include preservation of lung function. Thoracoscopic surgery is an effective treatment for pulmonary arteiovenous fistula, especially when present at the periphery of the lung.