PULMONARY ARTERIOVENOUS FISTULA -REPORT OF A CASE

Pulmonary arteriovenous fistula is a relatively rare disease, but recently case reports of this disease can be increasingly seen.A 54-year-old male was admitted to the hospital because of chest abnormal shadow. The CT, MRI and pulmonary arterial angiography revealed a simple pulmonary arteriovenous fistula on the left lower lobe. An excision of the fistula was tried, but the fistula was too large to excise completely and left lower lobectomy was added. Postoperative course was uneventful and the patient was discharged from the hospital on the 32nd postoperative day.Lobectomy and segmentectomy have been widely performed on this disease. Recently an excision or occlusion of the fistula is coming to be a best procedure in order to prevent the lung function. However, any recurrence and remainance of the fistula should be avoided even if this disease is benign.We emphasize the necessity of lobectomy and segmentectomy in some cases.