手術待機中に脳膿瘍を発症した右肺動静脈瘻の1例

Surgery for Right Pulmonary Arteriovenous Malformation with Recurrent Brain Abscess：Report of a Case

はじめに　肺動静脈瘻は比較的まれな疾患である．感染症や脳血管障害の発症確率が高いため，早期の治療が推奨されている．われわれは，手術待機中に脳膿瘍を発症した右肺動静脈瘻の手術例を経験したため報告する．

A 68-year-old man was referred to our hospital for further examination for chest abnormal shadow in the right lung field. He had a past history of subarachnoid hemorrhage. He was diagnosed with pulmonary arteriovenous malformation （PAVM） and recommended early treatment, but he didnot accept immediate surgical treatment. Three months later, he was transferred to other hospital emergently to treat nausea and dizziness. After being diagnosed with cerebellum abscess, external drainage was performed at our hospital. First drainage had a temporary efficacy, so second drainage was performed before referring to our department. Considering his condition and brain abscess, surgery for PAVM was done.