Salvage pneumonectomy for pulmonary arteriovenous malformation in a 12-year-old boy with brain abscess and hemiparesis: A fatal outcome
Large pulmonary arteriovenous malformations (PAVMs) constitute an uncommon cause of central cyanosis with septic embolism and brain abscess. This large right to left shunt can lead to chronic severe hypoxemia and significant morbidity and mortality if untreated. Conservative parenchyma-sparing lung...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Lung India |
| Subjects: | |
| Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2016;volume=33;issue=2;spage=202;epage=204;aulast=Majumdar |
| _version_ | 1811214012178759680 |
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| author | Gauranga Majumdar Surendra Kumar Agarwal Shantanu Pande Bipin Chandra |
| author_facet | Gauranga Majumdar Surendra Kumar Agarwal Shantanu Pande Bipin Chandra |
| author_sort | Gauranga Majumdar |
| collection | DOAJ |
| description | Large pulmonary arteriovenous malformations (PAVMs) constitute an uncommon cause of central cyanosis with septic embolism and brain abscess. This large right to left shunt can lead to chronic severe hypoxemia and significant morbidity and mortality if untreated. Conservative parenchyma-sparing lung resection was used widely as treatment of choice. However, with the advent of embolotheraphy, it is considered the preferred mode of treatment with less invasiveness. We here report a 12-year-old boy with large aneurysmal pulmonary arteriovenous fistula presented with brain abscess and hemiparesis. He underwent thoracotomy and pneumonectomy for large PAVMs, and it was complicated with bleeding and massive blood transfusion. The patient developed acute renal failure as a postoperative complication and succumbed to it. We suggest proper look out for systemic collateral and their management by embolitheraphy either alone or in combination should be tried first. We also suggest median sternotomy and intrapericardial approach for pneumonectomy in such difficult situation can be helpful. |
| first_indexed | 2024-04-12T05:56:02Z |
| format | Article |
| id | doaj.art-7fc1d2547df342c382c2eac673384da8 |
| institution | Directory Open Access Journal |
| issn | 0970-2113 0974-598X |
| language | English |
| last_indexed | 2024-04-12T05:56:02Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Lung India |
| spelling | doaj.art-7fc1d2547df342c382c2eac673384da82022-12-22T03:45:09ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2016-01-0133220220410.4103/0970-2113.177452Salvage pneumonectomy for pulmonary arteriovenous malformation in a 12-year-old boy with brain abscess and hemiparesis: A fatal outcomeGauranga MajumdarSurendra Kumar AgarwalShantanu PandeBipin ChandraLarge pulmonary arteriovenous malformations (PAVMs) constitute an uncommon cause of central cyanosis with septic embolism and brain abscess. This large right to left shunt can lead to chronic severe hypoxemia and significant morbidity and mortality if untreated. Conservative parenchyma-sparing lung resection was used widely as treatment of choice. However, with the advent of embolotheraphy, it is considered the preferred mode of treatment with less invasiveness. We here report a 12-year-old boy with large aneurysmal pulmonary arteriovenous fistula presented with brain abscess and hemiparesis. He underwent thoracotomy and pneumonectomy for large PAVMs, and it was complicated with bleeding and massive blood transfusion. The patient developed acute renal failure as a postoperative complication and succumbed to it. We suggest proper look out for systemic collateral and their management by embolitheraphy either alone or in combination should be tried first. We also suggest median sternotomy and intrapericardial approach for pneumonectomy in such difficult situation can be helpful.http://www.lungindia.com/article.asp?issn=0970-2113;year=2016;volume=33;issue=2;spage=202;epage=204;aulast=MajumdarBrain abscesscontrast echocardiographycyanosisembolotheraphylung resectionpulmonary arteriovenous malformation |
| spellingShingle | Gauranga Majumdar Surendra Kumar Agarwal Shantanu Pande Bipin Chandra Salvage pneumonectomy for pulmonary arteriovenous malformation in a 12-year-old boy with brain abscess and hemiparesis: A fatal outcome Lung India Brain abscess contrast echocardiography cyanosis embolotheraphy lung resection pulmonary arteriovenous malformation |
| title | Salvage pneumonectomy for pulmonary arteriovenous malformation in a 12-year-old boy with brain abscess and hemiparesis: A fatal outcome |
| title_full | Salvage pneumonectomy for pulmonary arteriovenous malformation in a 12-year-old boy with brain abscess and hemiparesis: A fatal outcome |
| title_fullStr | Salvage pneumonectomy for pulmonary arteriovenous malformation in a 12-year-old boy with brain abscess and hemiparesis: A fatal outcome |
| title_full_unstemmed | Salvage pneumonectomy for pulmonary arteriovenous malformation in a 12-year-old boy with brain abscess and hemiparesis: A fatal outcome |
| title_short | Salvage pneumonectomy for pulmonary arteriovenous malformation in a 12-year-old boy with brain abscess and hemiparesis: A fatal outcome |
| title_sort | salvage pneumonectomy for pulmonary arteriovenous malformation in a 12 year old boy with brain abscess and hemiparesis a fatal outcome |
| topic | Brain abscess contrast echocardiography cyanosis embolotheraphy lung resection pulmonary arteriovenous malformation |
| url | http://www.lungindia.com/article.asp?issn=0970-2113;year=2016;volume=33;issue=2;spage=202;epage=204;aulast=Majumdar |
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