Surgical Treatment of Idiopathic Multiple Pulmonary Arteriovenous Malformation Identified at the Onset of Cerebral Infarction: A Case Report
著者
北田, 正博
(Kitada, Masahiro)
安田, 俊輔
(Yasuda, Shunsuke)
髙橋, 奈七
(Takahashi, Nana)
岡崎, 智
(Okazaki, Satoshi)
石橋, 圭
(Ishibashi, Kei)
林, 諭
(Hayashi, Satoshi)
大崎, 能伸
(Ohsaki, Yoshinobu)
上位タイトル
Open Journal of Respiratory Diseases
Vol.7,
No.2
(2017.
5)
,p.62-
67
識別番号
ISSN
2163-940x
DOI
10.4236/ojrd.2017.72007
抄録
Pulmonary arteriovenous malformation (PAVM), which is asymptomatic in most cases, is often identified in patients with central nervous system disorders such as brain abscesses and/or cerebral infarctions. We have reported a patient with idiopathic multiple PAVM identified at the onset of cerebral infarction. A 69-year-old woman visited the Department of Neuropathic Internal Medicine at our hospital with chief complaints of numbness in her left hand and a feeling of weakness. The patient was given a diagnosis of subacute cerebral infarction. Multiple old lacunar infarctions were also observed in the deep white matter of the left frontal lobe. Chest computed tomography showed multiple nodular structures, mainly in the right lower lung field (S8), as well as continuous arteries and veins at the site; thus, the patient was finally diagnosed with multiple PAVM. Right lower thoracoscopic lobectomy was performed, as is typical surgical practice in such cases. The patient had a favorable postoperative course, and had no recurrence of cerebral infarction. Although the patient’s lesions were mainly restricted to S8, the fact that there were multiple lesions deemed a lobectomy as the appropriate course of treatment. This case emphasizes that attention should be paid to cases of multiple PAVM since cerebral infarction may arise from the disease.
キーワード
Pulmonary Arteriovenous Malformation (PAVM)
Brain Abscesses
Cerebral Infarctions
注記
This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).
