Heart, lung & circulation
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Heart, lung & circulation · Apr 2009
Review Case ReportsSuccessful lobectomy for pulmonary arteriovenous malformation causing recurrent massive haemoptysis.
A 6-year-old child with pulmonary arteriovenous malformation (PAVM) of the lower lobe of left lung was successfully treated by left lower lobectomy and the case is reported for its rarity. The exact diagnosis is relatively easy to make by contrast echocardiography and pulmonary angiocardiography, provided the possibility is entertained. Because of recurrent episodes of massive haemoptysis from a single pulmonary lobe, surgical resection was deemed the best curative option to avoid further episodes and recurrence. Published reports detailing coil embolisation therapy for PAVMs are also discussed.
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Heart, lung & circulation · Apr 2009
The role of the CSANZ in 'closing the gap': an Indigenous cardiologists perspective.
The definition of Indigenous health as a human rights issue has signaled a major change in ideology, which has the potential to unite governments, health organisations and the Indigenous community to achieve improved health outcomes for Aboriginal and Torres Strait Islander (ATSI) people. Whilst much of the debate will focus on specific policies, programs and interventions, the greatest challenge lies in bridging the divide between mainstream and Indigenous definitions of health, wellbeing and identity. This article provides an Indigenous perspective on the role that the Cardiac Society of Australia and New Zealand might play in bridging this divide so that we can 'close the gap' in life expectancy for ATSI people.