Quantitative shunt imaging in the evaluation of therapeutic surgery in a patient with pulmonary arteriovenous malformation


Ones T. , Dede F. , Erdim R., Erdil T. Y. , Inanir S. , Yuksel M., ...More

ANNALS OF THORACIC SURGERY, vol.86, no.2, pp.649-651, 2008 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 86 Issue: 2
  • Publication Date: 2008
  • Doi Number: 10.1016/j.athoracsur.2008.02.020
  • Title of Journal : ANNALS OF THORACIC SURGERY
  • Page Numbers: pp.649-651

Abstract

A case of pulmonary arteriovenous malformation (PAVM) in a 32-year-old woman who underwent successful left upper lobectomy is presented. A whole-body technetium-99m-labeled macro-aggregated albumin scan was used to demonstrate intrapulmonary right-to-left shunt, and shunt fraction was calculated as 39%. The patient underwent a follow-up scan after the operation; shunt fraction was calculated to be within normal limits (5%). The whole-body technetium-99m-labeled macro-aggregated albumin scan seems to be a simple and noninvasive test in the demonstration and quantitation of the degree of the right-to-left shunt in pulmonary arteriovenous malformation. The whole-body technetium-99m-labeled macro-aggregated albumin scan may also be useful for evaluation of the hemodynamic changes after surgical treatment and follow-up of the patients with pulmonary arteriovenous malformation.