Treatment of a patient with arteriovenous malformations of the right lung complicated by massive hemothorax

Drobayzgin E.A.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital;
Meshalkin National Medical Research Center

ORCID: 0000-0002-3690-1316

Chikinev Yu.V.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital

ORCID: 0000-0002-6795-6678

Korobeinikov A.V.

State Novosibirsk Regional Clinical Hospital

Redkin D.A.

State Novosibirsk Regional Clinical Hospital;
Meshalkin National Medical Research Center

Pashchina S.N.

State Novosibirsk Regional Clinical Hospital

Treatment of a patient with arteriovenous malformations of the right lung complicated by massive hemothorax

Authors:

Drobayzgin E.A., Chikinev Yu.V., Korobeinikov A.V., Redkin D.A., Pashchina S.N.

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Journal: Endoscopic Surgery. 2020;26(5): 52‑56

DOI: 10.17116/endoskop20202605152

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To cite this article:

Drobayzgin EA, Chikinev YuV, Korobeinikov AV, Redkin DA, Pashchina SN. Treatment of a patient with arteriovenous malformations of the right lung complicated by massive hemothorax. Endoscopic Surgery. 2020;26(5):52‑56. (In Russ.)
https://doi.org/10.17116/endoskop20202605152

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PURPOSE OF THE STUDY

Evaluation of treatment results in a patient with arteriovenous lung malformations complicated by massive hemothorax.

MATERIAL AND METHODS

A 30-year-old patient was hospitalized to clinic with a clinical picture of massive hemothorax. Upon further examination, arteriovenous malformations of the right lung (upper and lower lobes) were diagnosed with ongoing intrapleural bleeding. The first stage, angiopulmonography with embolization of malformation was performed. The second stage with thoracoscopy, a massive hemothorax was removed. There were no complications during the interventions.

CONCLUSIONS

The complex approach, including the roentgen-endovascular stage and subsequent thoracoscopic intervention, made it possible to achive a good clinical effect in the treatment of a patient with arteriovenous lung malformations. This approach may be optimal even with a complicated course of the disease, as demonstrated in this case.

Keywords:

arteriovenous lung malformation

diagnosis and treatment of arteriovenous lung malformations

endovascular embolization

thoracoscopy

Authors:

Drobayzgin E.A.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital;
Meshalkin National Medical Research Center

ORCID: 0000-0002-3690-1316

Chikinev Yu.V.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital

ORCID: 0000-0002-6795-6678

Korobeinikov A.V.

State Novosibirsk Regional Clinical Hospital

Redkin D.A.

State Novosibirsk Regional Clinical Hospital;
Meshalkin National Medical Research Center

Pashchina S.N.

State Novosibirsk Regional Clinical Hospital

Received:

24.01.2019

Accepted:

12.07.2019

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