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Ann Thorac Surg 2004;77:1825-1827
© 2004 The Society of Thoracic Surgeons

Case report

Resolution of pulmonary arteriovenous fistula by redirection of hepatic venous blood

Hajime Ichikawa, MDa*, Norihide Fukushima, MDa, Masamichi Ono, MDa, Tomoko Kita, MDa, Toru Matsushita, MDa, Yuji Miyamoto, MDa, Hikaru Matsuda, MDa

a Department of Surgery, Osaka University, Osaka, Japan

Accepted for publication June 3, 2003.

* Address reprint requests to Dr Ichikawa, Department of Surgery, Osaka University, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan
e-mail: ichikawa{at}surg1.med.osaka-u.ac.jp

We report an 8-year-old girl whose unilateral pulmonary arteriovenous fistula (PAVF) disappeared after we redirected hepatic venous blood to the affected lung. This case provides strong evidence that formation of a PAVF depends only on the presence or absence of hepatic venous blood in the pulmonary circulation.




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