Sleeve lobectomy for an arteriovenous malformation in the bronchus intermedius in a child
Arteriovenous malformations within the tracheobronchial tree in pediatric patients uncommonly present as hemoptysis, and can usually be treated with percutaneous transcatheter embolization. When this fails, parenchymal-sparing operations are needed. While these have been popularized for the manageme...
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Series: | Journal of Pediatric Surgery Case Reports |
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doaj-50faa28d5da445688ec130b2967c24142020-11-24T20:45:41ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662019-06-0145Sleeve lobectomy for an arteriovenous malformation in the bronchus intermedius in a childAditya Sengupta0Othman Aljohani1Howaida El-Said2Aparna Rao3Matthew Brigger4Raghav Murthy5Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USADepartment of Pediatric Cardiology, Rady Children's Hospital, University of California San Diego, San Diego, CA, USADepartment of Pediatric Cardiology, Rady Children's Hospital, University of California San Diego, San Diego, CA, USADepartment of Pediatric Pulmonology/Respiratory Medicine, Rady Children's Hospital, University of California San Diego, San Diego, CA, USADepartment of Pediatric Otolaryngology, Rady Children's Hospital, University of California San Diego, San Diego, CA, USADepartment of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Corresponding author. Department of Cardiovascular Surgery, Division of Pediatric Cardiac Surgery, The Mount Sinai Hospital, 1 Gustave L. Levy Place, Box 1028, New York, NY, 10029, USA.Arteriovenous malformations within the tracheobronchial tree in pediatric patients uncommonly present as hemoptysis, and can usually be treated with percutaneous transcatheter embolization. When this fails, parenchymal-sparing operations are needed. While these have been popularized for the management of bronchial neoplasms in children and adults, such bronchoplastic techniques are not commonly performed in children with tracheobronchial vascular malformations and acute hemoptysis. Here, we present a patient with recurrent hemoptysis who was found to have an arteriovenous malformation in the bronchus intermedius, and had failed numerous attempts at coil embolization. Via a right thoracotomy approach, we successfully performed a right middle lobectomy and sleeve resection of the bronchus intermedius. The post-operative recovery was uneventful, and there were no further episodes of hemoptysis. Thus, by applying the principles of bronchoplastic resection, such parenchymal-preserving surgery can be successfully used to manage symptomatic bronchial arteriovenous malformations with hemoptysis. Keywords: Pulmonary arteriovenous malformation, Tracheobronchial, Sleeve lobectomy, Bronchoplastic resection, Bronchus intermedius, Failed embolizationhttp://www.sciencedirect.com/science/article/pii/S2213576619300880 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Aditya Sengupta Othman Aljohani Howaida El-Said Aparna Rao Matthew Brigger Raghav Murthy |
spellingShingle |
Aditya Sengupta Othman Aljohani Howaida El-Said Aparna Rao Matthew Brigger Raghav Murthy Sleeve lobectomy for an arteriovenous malformation in the bronchus intermedius in a child Journal of Pediatric Surgery Case Reports |
author_facet |
Aditya Sengupta Othman Aljohani Howaida El-Said Aparna Rao Matthew Brigger Raghav Murthy |
author_sort |
Aditya Sengupta |
title |
Sleeve lobectomy for an arteriovenous malformation in the bronchus intermedius in a child |
title_short |
Sleeve lobectomy for an arteriovenous malformation in the bronchus intermedius in a child |
title_full |
Sleeve lobectomy for an arteriovenous malformation in the bronchus intermedius in a child |
title_fullStr |
Sleeve lobectomy for an arteriovenous malformation in the bronchus intermedius in a child |
title_full_unstemmed |
Sleeve lobectomy for an arteriovenous malformation in the bronchus intermedius in a child |
title_sort |
sleeve lobectomy for an arteriovenous malformation in the bronchus intermedius in a child |
publisher |
Elsevier |
series |
Journal of Pediatric Surgery Case Reports |
issn |
2213-5766 |
publishDate |
2019-06-01 |
description |
Arteriovenous malformations within the tracheobronchial tree in pediatric patients uncommonly present as hemoptysis, and can usually be treated with percutaneous transcatheter embolization. When this fails, parenchymal-sparing operations are needed. While these have been popularized for the management of bronchial neoplasms in children and adults, such bronchoplastic techniques are not commonly performed in children with tracheobronchial vascular malformations and acute hemoptysis. Here, we present a patient with recurrent hemoptysis who was found to have an arteriovenous malformation in the bronchus intermedius, and had failed numerous attempts at coil embolization. Via a right thoracotomy approach, we successfully performed a right middle lobectomy and sleeve resection of the bronchus intermedius. The post-operative recovery was uneventful, and there were no further episodes of hemoptysis. Thus, by applying the principles of bronchoplastic resection, such parenchymal-preserving surgery can be successfully used to manage symptomatic bronchial arteriovenous malformations with hemoptysis. Keywords: Pulmonary arteriovenous malformation, Tracheobronchial, Sleeve lobectomy, Bronchoplastic resection, Bronchus intermedius, Failed embolization |
url |
http://www.sciencedirect.com/science/article/pii/S2213576619300880 |
work_keys_str_mv |
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