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[A case of pulmonary arteriovenous fistula accompanied with marked polycythaemia].

Authors
  • Haniuda, M
  • Morimoto, M
  • Kobayashi, O
  • Nishimura, H
  • Iida, F
  • Oguchi, S
  • Furihata, A
  • Sasaki, Y
Type
Published Article
Journal
Kyobu geka. The Japanese journal of thoracic surgery
Publication Date
Mar 01, 1991
Volume
44
Issue
3
Pages
265–268
Identifiers
PMID: 2020155
Source
Medline
License
Unknown

Abstract

A 67-year-old male was admitted with cyanosis, digital clubbing and exertional dyspnea. Laboratory data revealed severe polycythaemia with 26 mg/dl hemoglobin, red blood cell; 866 x 10(-4)/mm3, hematocrit 72.8% and PaO2 44.6 mmHg. Selective pulmonary angiography demonstrated a large arteriovenous fistula involving the right middle lobe. After venesection of 1,200 ml of blood, the middle lobectomy was performed safely. In a case of pulmonary arteriovenous fistula with such severe polycythaemia, preoperative venesection is useful to decrease perioperative complications.

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