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[Pulmonary arteriovenous malformations].

Authors: M, Ribet; F, Denimal;

[Pulmonary arteriovenous malformations].

Abstract

This study concerns 11 patients; 7 had a Rendu-Osler-Weber disease. They were 5 males and 6 females, including 3 children. In addition to the thoracic symptoms of cyanosis, clubbing and polycythemia, 4 had been treated for a cerebral abscess. Standard chest films were normal in 2 cases. The anatomy of the malformations was studied by CT scans and angiographies. The 11 patients had 25 malformations, bilateral in 5 cases. All were hypoxennic. Four solitary lesions were resected by 3 lobectomies and 1 excision. Seven multiple lesions were treated by 1 pneumonectomy, 1 lobectomy, 1 segmentectomy + 1 excision and by 1 excision. In 2 of these cases radiology and surgery were associated. Two patients were treated by radiological vaso-occlusion. The 9 operated patients have remained cured with a mean 4.7 year follow-up, one still has a small, non evolutive anomaly. The 2 radiologically treated patients still have 2 non evolutive lesions. This cases allow a discussion concerning the diagnosis and treatment of arteriovenous malformations of the lung which can provoke grave complications. A long follow-up of treated patients is necessary.

Keywords

Adult, Lung Diseases, Male, Adolescent, Middle Aged, Embolization, Therapeutic, Arteriovenous Malformations, Humans, Female, Telangiectasia, Hereditary Hemorrhagic, Child, Pneumonectomy, Tomography, X-Ray Computed

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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Average
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