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Systemic Artery-to-Pulmonary Vessel Fistula at the Port Site of Previous Video-Assisted Thoracic Surgery: a Case Report

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Acquired systemic artery-to-pulmonary vessel fistula (SAPVF) has been reported after cardiovascular surgeries, arising as a complication of inflammatory diseases of the pleura or lungs, and following chest trauma or thoracotomy. SAPVF occurring after video-assisted thoracic surgery (VATS) for pneumothorax is rare. Here, we present a case and discuss the pathogenesis of an acquired SAPVF that occurred remotely after VATS for a pneumothorax. A 37-year-old man with a medical history of VATS for bilateral pneumothorax was referred to our hospital after presenting with hemoptysis and bloody sputum. Left subclavian artery angiography revealed the left lateral thoracic artery to the pulmonary artery and vein fistula in the lingular segment through port site of the previous surgery, and partial resection of the lingular segment was performed via VATS. We reported a case of SAPVF that was suspected to have been caused by VATS for pneumothorax. The possibility of SAPVF development during the later stages following VATS for pneumothorax should be considered.

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Systemic artery to pulmonary vessel fistula


Video-assisted thoracic surgery


Coronary artery bypass grafting


Computed tomography


Polyglycolic acid


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MK wrote the manuscript. MK, TM, and SK performed surgeries. HO performed pathological analysis. All authors contributed to patient treatment. All the authors have read and approved the final version of the manuscript.

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Correspondence to Masami Kuramochi.

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Kuramochi, M., Muraoka, T., Suzuki, K. et al. Systemic Artery-to-Pulmonary Vessel Fistula at the Port Site of Previous Video-Assisted Thoracic Surgery: a Case Report. SN Compr. Clin. Med. 5, 271 (2023).

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