Unusual Presentation of a Complication After Pulmonary Wedge Resection for Coccidioma

We report an unusual presentation of a complication after pulmonary wedge resection. A patient with a history of pulmonary wedge resection for coccidioma presented postoperatively with dyspnea and severe hypoxemia. Cerebral infarctions were diagnosed less than 1 year later. Cardiac magnetic resonanc...

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Veröffentlicht in:	The Annals of thoracic surgery 2009-12, Vol.88 (6), p.2011-2013
Hauptverfasser:	Leduc, François, BSc PT, Thipphavong, Seng, MD, Matzinger, Fred, MD, Dennie, Carole, MD, Sundaresan, Sudhir, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Angiography Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - etiology Arteriovenous Fistula - therapy Biological and medical sciences Cardiology. Vascular system Cardiothoracic Surgery Coccidiosis - surgery Diagnosis, Differential Embolization, Therapeutic Female Humans Lung Diseases, Parasitic - surgery Medical sciences Middle Aged Pneumology Pneumonectomy - adverse effects Pneumonectomy - methods Postoperative Complications Pulmonary Artery - abnormalities Pulmonary Veins - abnormalities Surgery Tomography, X-Ray Computed
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Zusammenfassung:	We report an unusual presentation of a complication after pulmonary wedge resection. A patient with a history of pulmonary wedge resection for coccidioma presented postoperatively with dyspnea and severe hypoxemia. Cerebral infarctions were diagnosed less than 1 year later. Cardiac magnetic resonance imaging and pulmonary angiogram revealed a pulmonary arteriovenous fistula. Surgical resection of the pulmonary arteriovenous fistula led to improved oxygen saturation and discontinuation of home oxygen.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2009.04.082