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  • Title: [A case of 67-year-old female with multiple giant pulmonary arteriovenous fistula combined with mitral regurgitation].
    Author: Tokunaga S, Masuda M, Umesue M, Nishida T, Maruyama Y, Matusuzaki K, Asou T, Mayumi H, Kinoshita K, Kawachi Y.
    Journal: Kyobu Geka; 1991 Feb; 44(2):180-2. PubMed ID: 2008063.
    Abstract:
    The patient was a 67-year-old female, complaining of cyanosis, clubbed finger and anoxic spell-like symptom. She was diagnosed as pulmonary arteriovenous fistula combined with mitral regurgitation. The fistula was giant and multiple, and was located in the right middle-lower lobe. Right to left shunt ratio was 27%, SO2 was 58.2%, %VC was 60%, mean pulmonary arterial pressure was 19 mmHg. Mitral regurgitation was mild (II). Ligation of the middle-lower branch of right pulmonary artery and the right lower pulmonary vein was performed through a median sternotomy. All of her symptom improved.
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