Author of

• 18670

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  P3.04 - Poster Session with Presenters Present (ID 474)

  • Event: WCLC 2016
  • Type: Poster Presenters Present
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 12/07/2016, 14:30 - 15:45, Hall B (Poster Area)

  • 18714

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    P3.04-044 - Surgical Management of Arteriovenous Malformations: Our Experience (ID 3746)

    14:30 - 14:30  |  Author(s): A. Poniku
    • Abstract

    Background:
    Pulmonary arteriovenous malformations are rare lesions with significant clinical complications. These lesions are commonly seen in patients with hereditary hemorrhagic telangiectasia (formerly Osler-Weber-Rendu syndrome). Formerly called Osler-Weber-Rendu, HHT is an inherited disorder of the vasculature associated with AVMs and telangiectasias. Diagnosis of HHT is based upon the presence or absence of four specific clinical criteria often referred to as the Curacao criteria.three criteria are present, the diagnosis is definite. If two criteria are present, the diagnosis of HHT is probable. If less than two criteria are present, the diagnosis is unlikely.Management of arteriovenous malformations (AVMs) remains challenging because of their unpredictable behavior and with high risk mortality..The purpose of this study was to review our surgical experience with surgical to manage arteriovenous malformations (AVMs).
    
    Methods:
    We diagnosed and treated a total of 11 patients with pulmonary arteriovenous malformacion (PAVMs) .They have been admitted to the clinic with massive hemoptisis. Unknwn initially diagnose .All patients are presented to hospital urgently with such clinical signs, epistaxis ,cough, hemopstisi, weakness, sweat, fever, dyspnoea, thoracic malaiseand ,massive right hemothorax . But 3 patients with clinical signs of hemorrhagic shock with massive hemoptisi, tachycardia, weak pulse, hypotension, severe anemia.In one patient was presented with massive hemothorax dexter et hypovolemiv shock .She was treated with right pleural drainage (avarage 2000ml)and intensive therapy et hemotransfusion (8 flacons).All patients are treated initially with intensive therapy and hemotransfuzion and after that with hemodynamic parameters stable were treated with surgery.Pacients were comleted with all the necessary of emergency examinations as thoracic radiography, biochemical examinations, CT scaner toracal, MRI ,Bronchoscopy, EKG ,cardiac echo and cateterisation ,gaseous exchange .Pulmonary angiography was performed in 8 patients.All patients were treated by surgical approach.Embolo/sclerotherapy was not definitive choice .
    
    Results:
    Arteriovenous malformation size ranged from 3.5 cm , on average (1-5 cm) and right lung location in seven patients ,right lower lobe in 4 patients,middle lobe 1 patient,right upper lobe 2 patients.Location on left lung in 4 patients .In left upper lobe in one patient and left lower lobe in 3 patiens.They were treated by lobectomy in 5 patients ,anatomical segmentectomy in 3 patients ,wedge resection in 3 patients.Morbidity 2 % and mortality in one patient
    
    Conclusion:
    Diagnosis and management of AVMs by surgical therapy resection was with very good results and with limited morbidity and low mortality and no recurrence during early follow-up.