Bilateral Lung Transplantation for Congenital Pulmonary Arteriovenous Fistula with Intraoperative Venovenous ECMO Support: The First Case Report in China
Pulmonary arteriovenous fistula (PAVF) is a rare pulmonary vascular lesion, more than 80% of which is caused by congenital abnormal development of pulmonary capillaries. The incidence of PAVF ranges from 2/100,000 to 3/100,000, with no difference in the male and female ratio. Congenital PAVF is ofte...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.861797/full |
| _version_ | 1818213626444513280 |
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| author | Jialong Liang Yuan Chen Jintao Zhou Mingfeng Zheng Feng Liu Shugao Ye Jingyu Chen Yong Ji |
| author_facet | Jialong Liang Yuan Chen Jintao Zhou Mingfeng Zheng Feng Liu Shugao Ye Jingyu Chen Yong Ji |
| author_sort | Jialong Liang |
| collection | DOAJ |
| description | Pulmonary arteriovenous fistula (PAVF) is a rare pulmonary vascular lesion, more than 80% of which is caused by congenital abnormal development of pulmonary capillaries. The incidence of PAVF ranges from 2/100,000 to 3/100,000, with no difference in the male and female ratio. Congenital PAVF is often associated with hereditary hemorrhagic telangiectasia (HHT). In this article, we report a patient with only congenital PAVF that was successfully treated by bilateral lung transplantation (BLT) with intraoperative venovenous extracorporeal membrane oxygenation (ECMO) support because both lungs have been affected by PAVF and secondary pulmonary hypertension. To the best of our knowledge, this is the first report of BLT for PAVF in China and the second report that explains the clinical course of a patient to receive BLT for congenital PAVF without HHT. Some investigators have proposed lung transplantation as a definitive treatment, but the results are controversial. On the basis of the current condition of this patient, we believe lung transplantation is a viable option for certain patients, but the long-term effect remains to be studied. |
| first_indexed | 2024-12-12T06:07:17Z |
| format | Article |
| id | doaj.art-af7d66bc38a443a88a01c28ddd5ca4c7 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-12T06:07:17Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-af7d66bc38a443a88a01c28ddd5ca4c72022-12-22T00:35:16ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-05-01910.3389/fsurg.2022.861797861797Bilateral Lung Transplantation for Congenital Pulmonary Arteriovenous Fistula with Intraoperative Venovenous ECMO Support: The First Case Report in ChinaJialong LiangYuan ChenJintao ZhouMingfeng ZhengFeng LiuShugao YeJingyu ChenYong JiPulmonary arteriovenous fistula (PAVF) is a rare pulmonary vascular lesion, more than 80% of which is caused by congenital abnormal development of pulmonary capillaries. The incidence of PAVF ranges from 2/100,000 to 3/100,000, with no difference in the male and female ratio. Congenital PAVF is often associated with hereditary hemorrhagic telangiectasia (HHT). In this article, we report a patient with only congenital PAVF that was successfully treated by bilateral lung transplantation (BLT) with intraoperative venovenous extracorporeal membrane oxygenation (ECMO) support because both lungs have been affected by PAVF and secondary pulmonary hypertension. To the best of our knowledge, this is the first report of BLT for PAVF in China and the second report that explains the clinical course of a patient to receive BLT for congenital PAVF without HHT. Some investigators have proposed lung transplantation as a definitive treatment, but the results are controversial. On the basis of the current condition of this patient, we believe lung transplantation is a viable option for certain patients, but the long-term effect remains to be studied.https://www.frontiersin.org/articles/10.3389/fsurg.2022.861797/fullbilateral lung transplantationcongenital pulmonary arteriovenous fistulaextracorporeal membrane oxygenationhereditary hemorrhagic telangiectasiacase report |
| spellingShingle | Jialong Liang Yuan Chen Jintao Zhou Mingfeng Zheng Feng Liu Shugao Ye Jingyu Chen Yong Ji Bilateral Lung Transplantation for Congenital Pulmonary Arteriovenous Fistula with Intraoperative Venovenous ECMO Support: The First Case Report in China Frontiers in Surgery bilateral lung transplantation congenital pulmonary arteriovenous fistula extracorporeal membrane oxygenation hereditary hemorrhagic telangiectasia case report |
| title | Bilateral Lung Transplantation for Congenital Pulmonary Arteriovenous Fistula with Intraoperative Venovenous ECMO Support: The First Case Report in China |
| title_full | Bilateral Lung Transplantation for Congenital Pulmonary Arteriovenous Fistula with Intraoperative Venovenous ECMO Support: The First Case Report in China |
| title_fullStr | Bilateral Lung Transplantation for Congenital Pulmonary Arteriovenous Fistula with Intraoperative Venovenous ECMO Support: The First Case Report in China |
| title_full_unstemmed | Bilateral Lung Transplantation for Congenital Pulmonary Arteriovenous Fistula with Intraoperative Venovenous ECMO Support: The First Case Report in China |
| title_short | Bilateral Lung Transplantation for Congenital Pulmonary Arteriovenous Fistula with Intraoperative Venovenous ECMO Support: The First Case Report in China |
| title_sort | bilateral lung transplantation for congenital pulmonary arteriovenous fistula with intraoperative venovenous ecmo support the first case report in china |
| topic | bilateral lung transplantation congenital pulmonary arteriovenous fistula extracorporeal membrane oxygenation hereditary hemorrhagic telangiectasia case report |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.861797/full |
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