Robotic right lower lobectomy for a persistent large pulmonary arteriovenous malformation following repeated coil embolization
Pulmonary arteriovenous malformations create continuous shunting of unoxygenated blood through the lungs into the systemic circulation. These malformations are asymptomatic if small, but cause serious symptoms as they grow in size. Treatment primarily consists of endovascular embolization; lobectomy...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724001898 |
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| author | Balazs C. Lengyel, MD Jacob B. Watson, MD Min P. Kim, MD Alan B. Lumsden, MD |
| author_facet | Balazs C. Lengyel, MD Jacob B. Watson, MD Min P. Kim, MD Alan B. Lumsden, MD |
| author_sort | Balazs C. Lengyel, MD |
| collection | DOAJ |
| description | Pulmonary arteriovenous malformations create continuous shunting of unoxygenated blood through the lungs into the systemic circulation. These malformations are asymptomatic if small, but cause serious symptoms as they grow in size. Treatment primarily consists of endovascular embolization; lobectomy is preserved for recurring or endovascularly untreatable cases. We describe a case of a 24-year-old man who was first treated with coil embolization 10 years previously, with complete symptom resolution. However, more recently he noted recurrent exercise intolerance, with shortness of breath and hypoxemia. After repeat re-embolization, a computed tomography scan noted some persistent flow. Given the patient's young age, we considered resection as a definite therapy. The patient underwent an uncomplicated robot-assisted right lower lobectomy. Afterward, his symptoms resolved completely. In selected cases, robotic lobectomy for pulmonary arteriovenous malformation is feasible and safe. |
| format | Article |
| id | doaj-art-006c7e977ff64436b7f24e182d1d079e |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-006c7e977ff64436b7f24e182d1d079e2025-08-20T02:49:00ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-0110610160510.1016/j.jvscit.2024.101605Robotic right lower lobectomy for a persistent large pulmonary arteriovenous malformation following repeated coil embolizationBalazs C. Lengyel, MD0Jacob B. Watson, MD1Min P. Kim, MD2Alan B. Lumsden, MD3Department of Cardiovascular Surgery, DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX; Department of Vascular and Endovascular Surgery, Heart and Vascular Center, Semmelweis University, Budapest, Hungary; Correspondence: Balazs C. Lengyel, MD, Department of Cardiovascular Surgery, Houston Methodist Hospital, 6565 Fannin St, Houston, TX 77030Department of Cardiovascular Surgery, DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TXDivision of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, TX; Department of Surgery and Cardiothoracic Surgery, Weill Cornell Medical College, Houston Methodist Hospital, Houston, TXDepartment of Cardiovascular Surgery, DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TXPulmonary arteriovenous malformations create continuous shunting of unoxygenated blood through the lungs into the systemic circulation. These malformations are asymptomatic if small, but cause serious symptoms as they grow in size. Treatment primarily consists of endovascular embolization; lobectomy is preserved for recurring or endovascularly untreatable cases. We describe a case of a 24-year-old man who was first treated with coil embolization 10 years previously, with complete symptom resolution. However, more recently he noted recurrent exercise intolerance, with shortness of breath and hypoxemia. After repeat re-embolization, a computed tomography scan noted some persistent flow. Given the patient's young age, we considered resection as a definite therapy. The patient underwent an uncomplicated robot-assisted right lower lobectomy. Afterward, his symptoms resolved completely. In selected cases, robotic lobectomy for pulmonary arteriovenous malformation is feasible and safe.http://www.sciencedirect.com/science/article/pii/S2468428724001898Arteriovenous malformationEmbolizationCoilsRoboticPulmonary lobectomy |
| spellingShingle | Balazs C. Lengyel, MD Jacob B. Watson, MD Min P. Kim, MD Alan B. Lumsden, MD Robotic right lower lobectomy for a persistent large pulmonary arteriovenous malformation following repeated coil embolization Journal of Vascular Surgery Cases and Innovative Techniques Arteriovenous malformation Embolization Coils Robotic Pulmonary lobectomy |
| title | Robotic right lower lobectomy for a persistent large pulmonary arteriovenous malformation following repeated coil embolization |
| title_full | Robotic right lower lobectomy for a persistent large pulmonary arteriovenous malformation following repeated coil embolization |
| title_fullStr | Robotic right lower lobectomy for a persistent large pulmonary arteriovenous malformation following repeated coil embolization |
| title_full_unstemmed | Robotic right lower lobectomy for a persistent large pulmonary arteriovenous malformation following repeated coil embolization |
| title_short | Robotic right lower lobectomy for a persistent large pulmonary arteriovenous malformation following repeated coil embolization |
| title_sort | robotic right lower lobectomy for a persistent large pulmonary arteriovenous malformation following repeated coil embolization |
| topic | Arteriovenous malformation Embolization Coils Robotic Pulmonary lobectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724001898 |
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