ﮔﺰارش ﯾﮏ ﻣﻮرد ﻣﺎﻟﻔﻮرﻣﺎﺳﯿﻮن ﺷﺮﯾﺎﻧﯽ ـ ورﯾﺪي رﯾﻪ

A Case Report of Pulmonary Arteriovenous Malformations

ﻣﺎﻟﻔﻮرﻣﺎﺳﯿﻮن ﺷﺮﯾﺎﻧﯽ ورﯾﺪي رﯾﻪ ﯾﺎ Pulmonary Arterio Venous Malformations، ﺑﯿﻤﺎري ﻧﺎدر ﺑﻪ ﻋﻠﺖ ارﺗﺒﺎط ﻏﯿﺮ ﻃﺒﯿﻌﯽ ﺑﯿﻦ ﺷﺮﯾﺎنﻫﺎ و ورﯾﺪﻫﺎي رﯾﻮي ﻣﯽﺑﺎﺷﺪ. در اﯾﻦ ﻣﻘﺎﻟﻪ ﺑﻪ ﻣﻌﺮﻓﯽ ﯾﮏ ﻣﻮرد ﻣﺎﻟﻔﻮرﻣﺎﺳﯿﻮن ﺷﺮﯾﺎﻧﯽ - ورﯾﺪي رﯾﻪ ﻟﻮب ﺗﺤﺘﺎﻧﯽ راﺳﺖ در ﯾﮏ ﺑﯿﻤﺎر 43 ﺳﺎﻟﻪ ﭘﺮداﺧﺘﻪ ﻣﯽﺷﻮد ﮐﻪ ﺑﺎ ﻣﻮﻓﻘﯿﺖ ﺑﻪ روش ﻟﻮﺑﮑﺘﻮﻣﯽ ﻣﻮرد درﻣﺎن ﻗﺮار ﮔﺮﻓﺖ. ﭘﯿﺸﺮﻓﺖﻫﺎي ﺣﺎﺻﻞ ﺷﺪه در رادﯾﻮﻟﻮژي ﻣﺪاﺧﻠﻪاي ﻣﻨﺠﺮ ﺑﻪ اراﺋﻪ روشﻫﺎي ﻧﻮﯾﻦ دردرﻣﺎن ﻣﺎﻟﻔﻮرﻣﺎﺳﯿﻮن ﺷﺮﯾﺎﻧﯽ - ورﯾﺪي رﯾﻪ ﺷﺪه اﺳﺖ. ﺑﺎ اﯾﻦ وﺟﻮد، در ﯾﮏ ﻣﺎﻟﻔﻮرﻣﺎﺳﯿﻮن ﺑﺰرگ ﻣﺮﮐﺰي ﻣﻨﻔﺮد ﻫﻤﺎﻧﻄﻮر ﮐﻪ در ﺑﯿﻤﺎر ﻣﺎ دﯾﺪه ﺷﺪ، ﻫﻤﭽﻨﯿﻦ در ﺑﯿﻤﺎران ﭘﺮ ﺧﻄﺮ، ﺟﺮاﺣﯽ ﻫﻤﭽﻨﺎن ﯾﮏ روش اﯾﻤﻦ ﺑﻮده ﮐﻪ اوﻟﯿﻦ اﻧﺘﺨﺎب اﺳﺖ.

Pulmonary arteriovenous malformation (PAVM) is a rare clinical condition with abnormal direct communication between the branches of pulmonary artery and vein. We present a case of PAVM in the central part of right lower lobe in a 43-year-old man, which was successfully treated by lobectomy. Advances in interventional radiology have led to the introduction of obliterative techniques for the treatment of PAVM. However, in the presence of a large solitary malformation centrally located, as in our case, and also in high-risk patients, surgery is still safe and the first effective option.