• Title/Summary/Keyword: Arteriovenous malformation

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Pulmonary Arteriovenous Fistula -One Case Report- (폐동정맥루)

  • 최영호
    • Journal of Chest Surgery
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    • v.15 no.2
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    • pp.183-187
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    • 1982
  • Pulmonary arteriovenous fistula is a congenital vascular malformation In the lung, various synonyms including Pulmonary cavernous vascular malformation, Pulmonary arteriovenous aneurysm, Cavernous hemangioma of the lung0 Pulmonary telangiectasia, Pulmonary hamartoma, etc. The pathogenesis of its symptoms is that unoxygenated, desaturated arterial blood enters into the pulmonary venous system directly. Recently we have experienced one case of the pulmonary arteriovenous fistula which was diagnosed as the pulmonary cystic lesion of the lung preoperatively in 20 years old, 61 kg, male patient. Operation was revealed well circumscribed cystic lesion filled with blood, subpleural and anterior mediobasal location, and bright red colored aspirates on two times needle aspirations. Microscopic finding shows ill circumscribed vascular lesion composed of varying sized blood vessels with irregular thickening of wall and final pathological diagnosis is Pulmonary Arteriovenous Fistula. Basal segmentectomy was done and the patient shows good postoperative course.

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Fontan Revision with Y-Graft in a Patient with Unilateral Pulmonary Arteriovenous Malformation

  • Lee, Jeong-woo;Park, Jeong-Jun;Goo, Hyun Woo;Ko, Jae Kon
    • Journal of Chest Surgery
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    • v.50 no.3
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    • pp.207-210
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    • 2017
  • The extracardiac conduit Fontan procedure is the last surgical step in the treatment of patients with a functional single ventricle. An acquired pulmonary arteriovenous malformation may appear perioperatively or postoperatively due to an uneven hepatic flow distribution. Here we report a case of a bifurcated Y-graft Fontan operation in a 15-year-old male patient with a unilateral pulmonary arteriovenous malformation after an extracardiac conduit Fontan operation.

Ulnar Nerve Compression at Guyon's Canal by an Arteriovenous Malformation

  • Kim, Sung-Soo;Kim, Jae-Hoon;Kang, Hee-In;Lee, Seung-Jin
    • Journal of Korean Neurosurgical Society
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    • v.45 no.1
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    • pp.57-59
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    • 2009
  • Guyon's canal at the wrist is not the common site of ulnar nerve compression. Ganglion, lipoma, anomalous tendon and muscles, trauma related to an occupation, arthritis, and carpal bone fracture can cause ulnar nerve compression at the wrist. However, ulnar nerve compression at Guyon's canal by vascular lesion is rare. Ulnar artery aneurysm, tortous ulnar artery, hemangioma, and thrombosis have been reported in the literature as vascular lesions. The authors experienced a case of ulnar nerve compression at Guyon's canal by an arteriovenous malformation (AVM) and the patient's symptom was improved after surgical resection. We can not easily predict vascular lesion as a cause of ulnar nerve compression at Guyon's canal. However, if there is not obvious etiology, we should consider vascular lesion as another possible etiology.

Spinal Arteriovenous Malformation Masquerating Zoster Sine Herpete

  • Lee, Ji Young;Ok, Se Jin;Oh, Chang Keun;Park, Sun Kyung;Kim, Do Wan;Yang, Jong Yeun
    • The Korean Journal of Pain
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    • v.26 no.1
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    • pp.72-75
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    • 2013
  • Zoster sine herpete (ZSH) is difficult to diagnosis during an acute period due to the absence of the characteristic zosteriform dermatomal rash; therefore, progression to postherpetic neuralgia is more common than typical zoster. In addition, misdiagnosis of other neuropathic pain as ZSH is common in clinical situations. Here, we report a case of spinal arteriovenous malformation that mimics ZSH. This is a rare condition; therefore, high clinical suspicion for a correct diagnosis and proper examination are not easy. However, early diagnosis and definitive treatment are essential to prevent neurologic deficit and mortality.

A Case of Neurogenic Tumor-like Cervical Arteriovenous Malformation (신경인성 종양과 유사한 양상의 경부 동정맥 기형 1예)

  • Lim, Sung Hwan;Kim, Min A;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.34 no.2
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    • pp.85-87
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    • 2018
  • The arteriovenous malformation (AVM) is an anomaly of capillary development that results from direct connection between branches of artery and vein without intervening capillary bed. The neurogenic tumors have a tendency to various types of degeneration. Recently, we experienced a 73-year old man with a mass in left supraclavicular area. The intraoperative findings showed severe adhesions with cervical plexus, like a neurogenic tumor. Finally, the mass was revealed as AVM. We report a unique disease pattern with a literature review.

ARTERIOVENOUS MALFORMATION OF THE MANDIBLE (하악골의 동정맥 기형)

  • Kim Dong-Youn;Lee Kang-Sook;Choi Karp-Shik
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.25 no.1
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    • pp.133-140
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    • 1995
  • The arteriovenous malformation, an uncommon lesion, is a direct communication between an artery and a vein that bypasses the intervening capillary bed. The authors experienced two cases of arteriovenous malformation in 17-year-old and 18-year-old female patients who had suffered from mandibular pain and gingival bleeding. As a result of careful analysis of clinical and angiographic radiological examinations, we diagnosed them as arteriovenous malformations, and the results were as follows : 1. Main clinical symptoms were dull pain and gingival bleeding on the mandibular body area, and reddness, pain on palpation, thrill and palpitation in the lesional sites were also observed. 2. Radiographically, well-defined radiolucent lesions with multiple osteolytic defects were observed. In radio-nuclide scan, increased uptakes of radioisotope were observed in the lesional sites. 3. Increased venous shunt supplied by the facial, lingual and inferior alveolar arteries was observed in angiography. After embolotherapy was performed, no recurrence was reported during 3 to 6 months follow up.

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Dural Arteriovenous Malformation on the Anterior Cranial Fossa - Case Report - (전두개와 경막에 발생한 동정맥 기형 - 증례보고 -)

  • Park, Tae Il;Whang, Kum;Pyen, Jhin Soo;Hu, Chul;Hong, Soon Ki;Han, Yong Pyo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.2
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    • pp.244-249
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    • 2001
  • Dural arteriovenous malformations(AVM) are not uncommon. Reports of intracranial dural AVM have been increasing but most of them deal with dural AVM in the region of the cavernous sinus, posterior fossa and tentorium, but those of the anterior cranial fossa are very rare. Recently, we experienced two cases of right frontal dural arteriovenous malformation fed mainly by both ethmoidal arteries. The angiographic appearance in these two cases is quite uniform. The nidus was located in the frontal dura, although their main feeders were dural arteries. They were drained through an intracerebral cortical vein associated with aneurysmal dilatation of proximal portion into superior sagittal sinus. Spontaneous intracerebral hematoma was the cause of the clinical symptoms. We report two cases of intracerebral hematoma, caused by dural AVM, which was successfully managed by surgical treatment.

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Clinical Experiences of Arteriovenous Fistula on The Face (안면부에 발생한 동정맥루의 치험례)

  • Choi, Soo Jong;Oh, Heung Chan;Bae, Yong Chan;Nam, Su Bong;Moon, Jae Sul;Oh, Chang Keun;Kim, Chang Won
    • Archives of Plastic Surgery
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    • v.34 no.3
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    • pp.399-402
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    • 2007
  • Purpose: Arteriovenous fistula is one of high flow vascular malformations. Recently, arteriovenous fistula has been regarded as one of the type of arteriovenous malformations. The patients were diagnosed as arteriovenous malformation Schobinger clinical stage II. Even though arteriovenous fistula rarely occurs on head and neck, treatment of that is difficult due to frequent recurrence. In treating the arteriovenous fistula, chemical embolization, surgical excision and other treatment modalities were used, but the results were not satisfactory. The authors experienced three cases of arteriovenous fistula and treated them with surgical excision. Methods: In cases, warmth, enlargement, pulsation, thrill, and bruit were found. For the accurate evaluation before the operation, angiography and MRI were checked in advance. Incision was made on the site of pulsation. The artery and vein connected to the arteriovenous fistula were dissected widely, individually ligated, and divided. And then the entire mass was totally removed. Results: All surgical sites were healed well without complications and there was no evidence of recurrence in all cases up to for 2 years of follow-up examination. Conclusion: The arteriovenous fistula on face is a very rare disease and has difficulties in treatment. The authors experienced three cases of arteriovenous fistula with complete surgical removal and no recurrence was found in all cases.

Interventional radiography in management of high-flow arteriovenous malformation of maxilla: report of a case

  • Khambete, Neha;Risbud, Mukund;Mehta, Nikit
    • Imaging Science in Dentistry
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    • v.41 no.3
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    • pp.123-128
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    • 2011
  • Arteriovenous malformations are extremely rare conditions in that can result from abnormalities in the structure of blood vessels, which may be potentially fatal. A 30-year-old female patient visited our hospital with a complaint of swelling on the right maxillary posterior gingiva along with the large port-wine stain on right side of face. On clinical examination, the swelling was compressible and pulsatile. Radiographic examination revealed a lytic lesion of maxilla. Diagnostic angiography revealed a high-flow arteriovenous malformation of maxilla which was treated by selective transarterial embolization of maxillary artery using polyvinyl alcohol particles.

Linac Based Radiosurgery for Cerebral Arteriovenous Malformations (선형가속기 방사선 수술을 이용한 뇌동정맥기형의 치료)

  • Lee, Sung Yeal;Son, Eun Ik;Kim, Ok Bae;Choi, Tae Jin;Kim, Dong Won;Yim, Man Bin;Kim, In Hong
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1030-1036
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    • 2000
  • Objective : The aim of this study was to retrospectively analyze the safety and effect of Linac based Photon Knife Radiosugery System(PKRS) for treatment of cerebral arteriovenous malformation. Patients and Methods : The authors analyzed the clinical method and results of ten patients who were followed up more than two years, among the 18 patients who had radiosurgery on arteriovenous malformation from June, 1992, to Dec. 1997, with Linac based Photon knife radiosurgery system(PKRS) which was developed in our hospital. Results : The average age of the patients was 30.4(with the range of 13-49), and the sex was seven males and three females. For the initial clinical symptoms, there were five patients with headache, three with seizure, one with hemiparesis, and one with vomiting. Before the radiosurgery, computed tomography, MRI, and cerebral angiogram were done. For the location of arteriovenous malformation, it was found on six patients of cerebral hemisphere, two of thalamus, one of brainstem, and one of corpus callosum. Regarding the size of nidus, there were seven patients of smaller than 3cm, and three patients of larger than 3cm. Computed tomography, MRI, and cerebral angiogram were done periodically for sixth months, first year, and second year after the radiosurgery of PKRS for the completeness of obliteration. Six cases showed complete obliteration, and four partial obliterations were observed among ten cases, and interestingly, six cases of complete obliteration were observed among seven cases of small AVM of smaller than 3cm(the rate of complete obliteration : 85.7%). All patients tolerated the treatment and no significant complication were seen. Conclusion : In this study, linac based radiosurgery using PKRS onto arteriovenous malformation showed excellent effects, therefore authors believe that it is an ideal method for small sized or deep seated AVM.

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