Transcatheter Embolotherapy of Giant Pulmonary Arteriovenous Malformation Using Amplatzer(R) Vascular Plug.

Jung, Ki Hwan; Lee, Seung Hwa; Shin, Chol; Kim, Je Hyeong

doi:2009.67.1.52

Tuberc Respir Dis > Volume 67(1); 2009 > Article

Case Report

Tuberculosis and Respiratory Diseases 2009;67(1):52-58.
DOI: https://doi.org/10.4046/trd.2009.67.1.52 Published online July 1, 2009.

Transcatheter Embolotherapy of Giant Pulmonary Arteriovenous Malformation Using Amplatzer(R) Vascular Plug.

Ki Hwan Jung, Seung Hwa Lee, Chol Shin, Je Hyeong Kim

¹Department of Internal Medicine, Korea University College of Medicine, Ansan Hospital, Ansan, Korea. chepraxis@korea.ac.kr
²Department of Radiology, Korea University College of Medicine, Ansan Hospital, Ansan, Korea.

Abstract

Pulmonary arteriovenous malformation (PAVM) is a rare pulmonary vascular anomaly due to an abnormal communication between the pulmonary artery and vein. The most common presenting symptom is a dyspnea on exertion related to this right-to-left shunt. If left untreated, PAVM has been known to result in serious complications. Incomplete pulmonary capillary network can be the cause of cerebral abscesses and other non-infectious neurological complications, such as stroke and transient ischemic attacks due to paradoxic embolism Transcatheter embolotherapy, using coils or balloons, has replaced surgical resection as the treatment of choice for PAVM. However, the risk of device embolization has limited the use of coil embolotherapy, while the size of PAVM is huge. Recently, Amplatzer(R) Vascular Plug has been proposed as an alternative endovascular occlusion device for arteriovenous malformation. We report a case of 81-year-old male patient with a giant PAVM, which was successfully treated by transcatheter embolotherapy using the Amplatzer(R) Vascular Plug.

Key Words: Arteriovenous malformations, Pulmonary disease, Therapeutic embolization