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Ann Thorac Surg 2002;74:1229-1231
© 2002 The Society of Thoracic Surgeons


Case report

Acquired systemic-to-pulmonary arteriovenous malformation secondary to Mycobacterium Tuberculosis empyema

Chadrick E. Denlinger, MDa, Thomas M. Egan, MDb, David R. Jones, MD*a

a Department of Surgery, University of Virginia, Charlottesville, Virginia, USA
b Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

Accepted for publication May 30, 2002.

* Address reprint requests to Dr Jones, Department of Surgery, University of Virginia, PO Box 800679, Charlottesville, VA 22908-0679 USA
e-mail: djones{at}virginia.edu

Pulmonary arteriovenous malformations (AVMs) with systemic arterial collateralization related to a prior tuberculosis empyema are extremely rare. We report the case of a 15-year-old boy who developed a pulmonary AVM with massive systemic arterial collateralization 5 years after being treated for a Mycobacterium tuberculosis empyema necessitans. The AVM was successfully managed with combined intraarterial embolization and surgical resection.




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