• Surgery today · Jan 1993

    Case Reports

    Intrapleural rupture of a pulmonary arteriovenous fistula occurring just beneath the pleura: report of a case.

    • S Iwabuchi, A Horikoshi, S Okada, T Tanita, and S Fujimura.
    • Department of Surgery, Tohoku University, Sendai, Japan.
    • Surg. Today. 1993 Jan 1;23(5):468-70.

    AbstractWe report herein a rare case of a 21-year-old man with Rendu-Osler-Weber disease, otherwise known as hemorrhagic teleangiectasia, in whom a spontaneous hemothorax occurred following the rupture of one of multiple pulmonary arteriovenous fistulae (PAVF). An emergency life-saving operation was performed which revealed the ruptured fistula lying just beneath the visceral pleura. This case demonstrates that patients in whom a pulmonary angiogram shows an arteriovenous fistula lying just beneath the visceral pleura should undergo prophylactic surgery to avoid a life-threatening emergency, whenever possible.

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