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Ann Thorac Surg 1988;45:213-215
© 1988 The Society of Thoracic Surgeons

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Articles

Combined Radiological and Surgical Management of Arteriovenous Malformation of the Lung

From the Section on Cardiothoracic Surgery, Department of Surgery, and the Department of Radiology, Wake Forest University Medical Center, Winston-Salem, NC

Accepted for publication June 10, 1987.

^* Address reprint requests to Dr. Wallenhaupt, Section on Cardiothoracic Surgery, Wake Forest University Medical Center, 300 South Hawthorne Rd, Winston-Salem, NC 27103

Multiple, bilateral arteriovenous malformations (AVMs) of the lung are diagnostically and therapeutically challenging. In staged procedures over seven days, a 19-year-old woman underwent blocking of the feeding artery to six moderate-sized AVMs in the left lower lobe, embolization of three more AVMs in the left lower lobe, and resection of a large AVM in the right lower lobe through a right-sided thoracotomy. These procedures preserved maximal lung tissue, and one year later the patient is essentially symptom free.

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