A case of a pulmonary arteriovenous malformation treated by lobectomy

Abstract

We present a case of pulmonary arteriovenous malformation (PAVM) in central localisation (type IIIa) of the upper lobe of the left lung. We discuss diagnostic (Doppler ultrasonography, CT, MRI, angiography) and therapeutic (embolization therapy) options and a current role of surgery in this uncommon clinical condition. Our patient underwent left upper lung lobectomy as an ultimate therapeutic method without subsequent morbidity. We conclude that surgery is a safe method of treatment of pulmonary arteriovenous malformations in selected cases i.e. when PAVM is solitary and of great diameter (more than two centimeters) and where the risks of embolotherapy are high.