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Pulmonary Arteriovenous Fistulectomy: A Simplified Technique

Pulmonary Arteriovenous Fistulectomy: A Simplified Technique Abstract Pulmonary arteriovenous fistulae are preferably excised without sacrifice of pulmonary parenchyma. This was first accomplished by Janes.8 It is the purpose of this paper to submit a safe, simple technique for accomplishment of this goal in the less extensive lesion. It is evident that such a procedure demands some means of controlling accidental hemorrhage. Several methods for controlling the pulmonary hilum are available. Experimental work has established the safety of complete lung root occlusion for at least one hour.2,3,7 It is worth noting, however, that total pulmonary ischemia is not easily attained and requires several complex maneuvers to insure completeness.7 Clinically, Blades4 has utilized occlusion of the pulmonary artery and veins in segmental resections of the lung. Parker and Stallworth10 and Bosher et al.5 have employed a similar procedure with the addition of bronchial artery occlusion for resection of pulmonary arteriovenous fistulae. Baffes et References 1. Baffes, T. G.; Lev, M.; Paul, M. H.; Miller, R. A.; Riker, W. L.; DeBoer, A., and Potts, W. J.: Surgical Correction of Transposition of the Great Vessels: A 5-Year Survey , J. Thor. Surg. 40:298, 1960. 2. Blades, B.; Beattie, E. J.; Hill, R. P., and Thistlethwaite, R.: Ischemia of the Lung , Ann. Surg. 136:56, 1952.Crossref 3. Blades, B.; Pierpont, H. C.; Samadi, A., and Hill, R. P.: The Effect of Experimental Lung Ischemia on Pulmonary Function: A Preliminary Report , Surg. Forum 4:255, 1963. 4. Blades, B.: Ischemia of the Lung: Practical Applications in Segmental Resections of Pulmonary Tissue , A.M.A. Arch. Surg. 69:525, 1954.Crossref 5. Bosher, L. H., Jr.; Blake, D. A., and Byrd, B. R.: An Analysis of the Pathologic Anatomy of Pulmonary Arteriovenous Aneurysms with Particular Reference to the Applicability of Local Excision , Surgery 45:91, 1959. 6. Brofman, B. L.: Charms, B. L.; Kohn, P. M.; Elder, J.; Newman, R., and Rizika, M.: Unilateral Pulmonary Artery Occlusion in Man , J. Thor. Surg. 34:206, 1957. 7. Demetrakopoulos, N. J., and Lewis, F. J.: Experimental Lung Resection During Vascular and Bronchial Occlusion , Dis. Chest 39:263, 1961.Crossref 8. Janes, R. M.: Multiple Cavernous Haemangiomas of Lungs Successfully Treated by Local Resection of Tumours , Brit. J. Surg. 31:270, 1944.Crossref 9. Lewis, J. F.; Demos, N. J.; Connaughton, P. J., and Poticha, S. M.: Lung Resection with Temporary Vascular and Bronchial Occlusion , J. Thor. Cardiov. Surg. 42:630, 1961. 10. Parker, E. F., and Stallworth, J. M.: Arteriovenous Fistula of the Lung Treated by Dissection and Excision Without Pulmonary Excision , Surgery 32:31, 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Pulmonary Arteriovenous Fistulectomy: A Simplified Technique

Archives of Surgery , Volume 86 (4) – Apr 1, 1963

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310100024004
Publisher site
See Article on Publisher Site

Abstract

Abstract Pulmonary arteriovenous fistulae are preferably excised without sacrifice of pulmonary parenchyma. This was first accomplished by Janes.8 It is the purpose of this paper to submit a safe, simple technique for accomplishment of this goal in the less extensive lesion. It is evident that such a procedure demands some means of controlling accidental hemorrhage. Several methods for controlling the pulmonary hilum are available. Experimental work has established the safety of complete lung root occlusion for at least one hour.2,3,7 It is worth noting, however, that total pulmonary ischemia is not easily attained and requires several complex maneuvers to insure completeness.7 Clinically, Blades4 has utilized occlusion of the pulmonary artery and veins in segmental resections of the lung. Parker and Stallworth10 and Bosher et al.5 have employed a similar procedure with the addition of bronchial artery occlusion for resection of pulmonary arteriovenous fistulae. Baffes et References 1. Baffes, T. G.; Lev, M.; Paul, M. H.; Miller, R. A.; Riker, W. L.; DeBoer, A., and Potts, W. J.: Surgical Correction of Transposition of the Great Vessels: A 5-Year Survey , J. Thor. Surg. 40:298, 1960. 2. Blades, B.; Beattie, E. J.; Hill, R. P., and Thistlethwaite, R.: Ischemia of the Lung , Ann. Surg. 136:56, 1952.Crossref 3. Blades, B.; Pierpont, H. C.; Samadi, A., and Hill, R. P.: The Effect of Experimental Lung Ischemia on Pulmonary Function: A Preliminary Report , Surg. Forum 4:255, 1963. 4. Blades, B.: Ischemia of the Lung: Practical Applications in Segmental Resections of Pulmonary Tissue , A.M.A. Arch. Surg. 69:525, 1954.Crossref 5. Bosher, L. H., Jr.; Blake, D. A., and Byrd, B. R.: An Analysis of the Pathologic Anatomy of Pulmonary Arteriovenous Aneurysms with Particular Reference to the Applicability of Local Excision , Surgery 45:91, 1959. 6. Brofman, B. L.: Charms, B. L.; Kohn, P. M.; Elder, J.; Newman, R., and Rizika, M.: Unilateral Pulmonary Artery Occlusion in Man , J. Thor. Surg. 34:206, 1957. 7. Demetrakopoulos, N. J., and Lewis, F. J.: Experimental Lung Resection During Vascular and Bronchial Occlusion , Dis. Chest 39:263, 1961.Crossref 8. Janes, R. M.: Multiple Cavernous Haemangiomas of Lungs Successfully Treated by Local Resection of Tumours , Brit. J. Surg. 31:270, 1944.Crossref 9. Lewis, J. F.; Demos, N. J.; Connaughton, P. J., and Poticha, S. M.: Lung Resection with Temporary Vascular and Bronchial Occlusion , J. Thor. Cardiov. Surg. 42:630, 1961. 10. Parker, E. F., and Stallworth, J. M.: Arteriovenous Fistula of the Lung Treated by Dissection and Excision Without Pulmonary Excision , Surgery 32:31, 1952.

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1963

References