Öz
Pulmonary arterioarterial malformation and arteriovenous malformation are rare vascular abnormalities of the lung. A combination of the two is even more rare. We reviewed the articles about the pulmonary arterioarterial and pulmonary arteriovenous malformations in the literature because of our case.
A 31-year-old man complaining of backache was admitted to our clinic. He had no pathologies in his physical examination and his routine laboratory results. As a result of pulmonary angiography and magnetic resonance angiography pulmonary, arterioarterial malformation and arteriovenous malformation were diagnosed. In three-year follow-up of the patient, he developed no complications and he had no operations.
Anahtar Kelimeler
Pulmonary arterioarterial malformation pulmonary arteriovenous malformation.
Kaynakça
- 1. Shields TW. Congenital vascular lesions of the lungs. General thoracic surgery. 5th ed. Lippincott, Williams &Wilkins; 2000:975-87.
- 2. Geyik S, Yavuz K, Keller FS. Unusual systemic artery to pulmonary artery malformation without evidence of systemic disease, trauma or surgery. Car-diovasc Intervent Radiol. 2006;29:897-901.
- 3. Guttmacher AE, Marchuk DA, White RI Jr. Hereditary hemorrhagic telengiecta-sia. N Engl J Med 1995; 339: 918-24.
- 4. Kartaloğlu Z, Okutan O, Kunter E, Çiftçi F, Ülvan A, Tunç H. Endobronşial olarak görülen bir arteriovenöz malfor-masyon olgusu. Tüberküloz ve Toraks Dergisi 2004; 52 : 175-8.
- 5. Kihursid I, Downier GH. Pulmonary arteriovenous malformation. Post Grad Med J 2002; 78: 191-7.
- 6. Dines DE, Arms RA, BernatzPE, Gomes MR. Pulmonary arteriovenous fistulas. Mayo Clin Proc 1974; 49: 4605.
- 7. Tanrıverdi Ö, Ger E, Uzunoğlu S ve ark. Solunum 2002;4:474-8.
- 8. Swanson KL, Prakash UB, Stanson AW. Pulmonary arteriovenous fistulas: Mayo Clinic experience, 1982-1997. Mayo Clin Proc 1999;74:671-80.
- 9. Shovlin CI, Guttmacher AF, Buscarini E et al. Diagnostic criteria for heredi- tary hemorrhagic telengectasia (Ren-du-Osler-Weber syndrome). Am J Med Genet 2000;91:66-7.
- 10. Plauchu H, de Chadarevian JP, Bideau A et al. Age-related clinical profile of hereditary hemorrhagic telengectasia in an epidemiologically recruited population. Am J Med Genet 1989;32:291-7.
- 11. Shovlin CI, Letarte M. Hereditary hemorrhagic telengectasia and pulmonary arteriovenous malformations: issues in clinical management and review of pathogenetic mechanisms. Thorax 1995;54:714-29.
- 12. Lakadamyalı H, Lakadamyalı H, Eldem H O ve ark. Toraks dergisi 2006;7: 204208.
- 13. Gossage JR, Kanj G. Pulmonary arteriovenous malformations: a state of the art review. Am J Respir Crit Care Med 1998;158:643-61.
- 14. Ashizawa K, Ishida Y, Matsunaga N, Otsuji H, Sakamoto I, Hayashi K. Anomalous systemic arterial supply to normal basal segments of left lower lobe: characteristic imaging findings. J Comput Assist Tomogr 2001;25:764-9.
- 15. Yamanaka A, Hirai T, Fujimoto T, Hase M, Noguchi M, Konishi F. Anomalous systemic arterial supply to normal basal segments of the left lower lobe. Ann Thorac Surg 1999;68:332-8.
- 16. Do KH, Goo JM, Im JG, Kim KW, Chung JW, Park JH Systemic arterial supply to the lungs in adults: spiral CT findings. Radiographics 2001;21:387-402.
- 17. Kjedsen AD, Oxhoj H, Andersen PE et al. Pulmonary arteriovenous malformations: screening procedures and pulmonary angiography in patients with hereditary hemorrhagic telengectasia. Chest 1999;116:432-9.
- 18. Cottin V, Plauchu H, Bayle JY et al. Pulmonary arteriovenous malformations in patients with hereditary hemorrhagic telengectasia. Am J Respir Crit Care Med 2004;169:994-1000.
- 19. Gossage JR. The role of echocardiography in screening for pulmonary arteriovenous malformations. Chest 2003;123:320-2.
- 20. Nathakumar K, Graham AT, Robinson TI et al. Contrast echocardiography for detection of pulmonary arteriovenous malformations. Am Heart J 2001;141:243-6.
- 21. Morrell NW. Screening for pulmonary arteriovenous malformations. Am J Crit Care Med 2004;169:978-9.
- 22. Mann MJ, Kramer MJ, Hall TS et al. Isolated pulmonary arteriovenous malformations requiring anatomic resection. J Thor Cardio Surg 2004;127:574-6.
Öz
Pulmoner arteriyoarteriyel malformasyon ve pulmoner arteriyovenöz malformasyon akciğerin nadir görülen damarsal anomalileridir. İki malformasyonun bir arada bulunması ise daha da nadirdir. Merkezimizde izlediğimiz bir olgu nedeniyle pulmoner arteriyoarteryel malfor-masyon ve pulmoner arteriyovenöz malformasyon, literatür bilgileri ışığında irdelendi.
Sırt ağrısı yakınması ile merkezimize başvuran 31 yaşındaki erkek hastanın fizik muayenesinde bir özellik saptanmadı. Hematolojik ve biyokimyasal değerler, elektrokardiyografi ve tam idrar tahlili normaldi. Toraks magnetik rezonans anjiografi ve pulmoner anjiografi sonucunda, pulmoner arteriyoarteryel malformasyon ve pulmoner arteriyovenöz malformasyon tanısı konuldu. Olgunun üç yıllık takibinde müdahale gerektirecek herhangi bir komplikasyon gelişmedi.
Anahtar Kelimeler
Pulmoner arteriyoarteryel malformasyon pulmoner arteriyovenöz mal-formasyon.
Kaynakça
- 1. Shields TW. Congenital vascular lesions of the lungs. General thoracic surgery. 5th ed. Lippincott, Williams &Wilkins; 2000:975-87.
- 2. Geyik S, Yavuz K, Keller FS. Unusual systemic artery to pulmonary artery malformation without evidence of systemic disease, trauma or surgery. Car-diovasc Intervent Radiol. 2006;29:897-901.
- 3. Guttmacher AE, Marchuk DA, White RI Jr. Hereditary hemorrhagic telengiecta-sia. N Engl J Med 1995; 339: 918-24.
- 4. Kartaloğlu Z, Okutan O, Kunter E, Çiftçi F, Ülvan A, Tunç H. Endobronşial olarak görülen bir arteriovenöz malfor-masyon olgusu. Tüberküloz ve Toraks Dergisi 2004; 52 : 175-8.
- 5. Kihursid I, Downier GH. Pulmonary arteriovenous malformation. Post Grad Med J 2002; 78: 191-7.
- 6. Dines DE, Arms RA, BernatzPE, Gomes MR. Pulmonary arteriovenous fistulas. Mayo Clin Proc 1974; 49: 4605.
- 7. Tanrıverdi Ö, Ger E, Uzunoğlu S ve ark. Solunum 2002;4:474-8.
- 8. Swanson KL, Prakash UB, Stanson AW. Pulmonary arteriovenous fistulas: Mayo Clinic experience, 1982-1997. Mayo Clin Proc 1999;74:671-80.
- 9. Shovlin CI, Guttmacher AF, Buscarini E et al. Diagnostic criteria for heredi- tary hemorrhagic telengectasia (Ren-du-Osler-Weber syndrome). Am J Med Genet 2000;91:66-7.
- 10. Plauchu H, de Chadarevian JP, Bideau A et al. Age-related clinical profile of hereditary hemorrhagic telengectasia in an epidemiologically recruited population. Am J Med Genet 1989;32:291-7.
- 11. Shovlin CI, Letarte M. Hereditary hemorrhagic telengectasia and pulmonary arteriovenous malformations: issues in clinical management and review of pathogenetic mechanisms. Thorax 1995;54:714-29.
- 12. Lakadamyalı H, Lakadamyalı H, Eldem H O ve ark. Toraks dergisi 2006;7: 204208.
- 13. Gossage JR, Kanj G. Pulmonary arteriovenous malformations: a state of the art review. Am J Respir Crit Care Med 1998;158:643-61.
- 14. Ashizawa K, Ishida Y, Matsunaga N, Otsuji H, Sakamoto I, Hayashi K. Anomalous systemic arterial supply to normal basal segments of left lower lobe: characteristic imaging findings. J Comput Assist Tomogr 2001;25:764-9.
- 15. Yamanaka A, Hirai T, Fujimoto T, Hase M, Noguchi M, Konishi F. Anomalous systemic arterial supply to normal basal segments of the left lower lobe. Ann Thorac Surg 1999;68:332-8.
- 16. Do KH, Goo JM, Im JG, Kim KW, Chung JW, Park JH Systemic arterial supply to the lungs in adults: spiral CT findings. Radiographics 2001;21:387-402.
- 17. Kjedsen AD, Oxhoj H, Andersen PE et al. Pulmonary arteriovenous malformations: screening procedures and pulmonary angiography in patients with hereditary hemorrhagic telengectasia. Chest 1999;116:432-9.
- 18. Cottin V, Plauchu H, Bayle JY et al. Pulmonary arteriovenous malformations in patients with hereditary hemorrhagic telengectasia. Am J Respir Crit Care Med 2004;169:994-1000.
- 19. Gossage JR. The role of echocardiography in screening for pulmonary arteriovenous malformations. Chest 2003;123:320-2.
- 20. Nathakumar K, Graham AT, Robinson TI et al. Contrast echocardiography for detection of pulmonary arteriovenous malformations. Am Heart J 2001;141:243-6.
- 21. Morrell NW. Screening for pulmonary arteriovenous malformations. Am J Crit Care Med 2004;169:978-9.
- 22. Mann MJ, Kramer MJ, Hall TS et al. Isolated pulmonary arteriovenous malformations requiring anatomic resection. J Thor Cardio Surg 2004;127:574-6.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Göğüs Hastalıkları |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 21 Ağustos 2012 |
| Yayımlandığı Sayı | Yıl 2012 Cilt: 6 Sayı: 2 |
