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Ann Thorac Surg 2003;76:1730-1733
© 2003 The Society of Thoracic Surgeons

Case report

Hemoptysis from an unusual pulmonary arteriovenous malformation

Kin Hoi Thung, FRCSEda, Alan D. L. Sihoe, MRCSa, Innes Y. P. Wan, FRCSEda, Tak Wai Lee, FRCSEda, Randolph Wong, MBChBa, Anthony P. C. Yim, MDa*

a Department of Surgery, Division of Cardiothoracic Surgery, Chinese University of Hong Kong, Shatin, Hong Kong, China

Accepted for publication April 3, 2003.

* Address reprint requests to Dr Yim, Division of Cardiothoracic Surgery, Department of Surgery, Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
e-mail: yimap{at}cuhk.edu.hk

We report the case of a 64-year-old woman who presented with massive hemoptysis. She was found to be bleeding from a pulmonary arteriovenous malformation in the right middle lobe, which had a peculiar blood supply from the right internal mammary artery. Video-assisted thoracic surgery lobectomy was successfully performed for this condition. Limitations of embolization as a treatment modality for this condition are discussed.




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