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Japanese

A case of pulmonary arteriovenous fistula with mitral valve stenosis Kiyoyuki Eishi 1 , Masahiro Endo 1 , Hisae Hayashi 1 , Hitoshi Koyanagi 1 1Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical College pp.1501-1505
Published Date 1985/12/15
DOI https://doi.org/10.11477/mf.1404204795
  • Abstract
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The patient was a 46 year old female, who was complaining of cyanosis, dyspnea and shortness of breath on exertion. And she had received closed mitral commissurotomy 18 years before. She was diagnosed as having pulmonary arteriovenous fistula in combination with mitral valve stenosis. The fistula was located in the lateral segment of the right lung and R-L shunt of 34% was detected. The cardiac catheterization showed a pulmonary arterial pres-sure of 34/16mmHg (mean pressure=21mmHg) and a right ventricular pressure of 34/5mmllg (end-diastolic pressure=6.5mmHg), so the pulmo-nary hypertension was not seen and the right ven-tricular function didn't decrease. It was estimated that the mitral valve stenosis was not severe without pulmonary hypertension and her complaints were due to the pulmonary arteriovenous fistula. So only the right middle lobe's lobectomy was performed. After the operation, the complaints improved and cardiac failure was not seen.

In a case of pulmonary arteriovenous fistula with mitral valve stenosis, the evaluation of the obstruc-tive changes of the pulmonary arteries is very important to determine the indication of the opera-tion. If the changes is not severe as this case, the resection of the pulmonary arteriovenous fistula will be indicated irrespective of the treatment for mitral valve stenosis.


Copyright © 1985, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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