Abstract
The patient was a 74-year-old man who was complained cyanosis and shortness of breath on exertion. He had undergone open mitral commissurotomy for mitral stenosis 19 years previously. He was diagnosed with mitral stenosis and regurgitation combined with pulmonary arteriovenous fistula (PAVF). Moderate pulmonary hypertension was also observed. It appeared that the PAVF was located where one-step operation with open heart surgery was anatomically feasible, and that his condition would be improved by resection of the fistula and decreasing overload of left atrium by mitral valve replacement. One-step operation including mitral valve replacement and tricuspid annuloplasty with enuculation of the PAVF was therefore performed. The patient has done well postoperatively, and postoperative cardiac catheterization revealed no increase in pulmonary arterial pressure.
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References
Le Roux PT: Pulmonary arteriovenous fistula. Q J Med 28: 1–19, 1959
Sloan RD, Cooley RN: Congenital pulmonary arteriovenous aneurysm. Am J Roentgenol Radium Ther Nucl Med 70: 183–210, 1953
Muri J: Arteriovenous aneurysm of the lung. Dis Chest 24: 49–61, 1953
Bosher LH Jr, Blake DA, Byrd BR: An analysis of pulmonary arteriovenous aneurysm with particula reference to the applicability of local excision. Surgery 45: 91–104, 1959
29: 245–248, 1975
25: 597–600, 1972
33: 1501–1505, 1985
Lee Pk, So SY, Chow JSF: An unusual cause of central cyanosis in a patient with rheumatic heart disease. Thorax 41: 333–334, 1986
37: 1396–1399, 1989
Sperling DC, Cheitlin M, Sullivan RW, Smith A: Pulmonary arteriovenous fistulas with pulmonary hypertention. Chest 71: 753–757, 1977
Sapru P, Hutchison S, Hall JI: Pulmonary hypertension in patient with pulmonary arteriovenous fistulae. Br Heart J 31: 559–569, 1969
34: 284–288, 1981
25: 271–274, 1996
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Inoue, T., Wakaki, N. & Oku, H. A successful surgical repair of mitral stenosis and regurgitation with pulmonary arteriovenous fistula. Jpn J Thorac Caridovasc Surg 46, 757–761 (1998). https://doi.org/10.1007/BF03217816
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DOI: https://doi.org/10.1007/BF03217816