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Abstract

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Article in Japanese

Case Report

A systemic arterio-pulmonary venous fistula with inflow from the left gastric artery: a case report

Kenya Satoa  Kyoko Gochoa  Shinya Matsushitaa  Miki Takahashia  Yoshimasa Inoueb  Nobuyuki Hamanakaa 

aDepartment of Thoracic Medicine, Saiseikai Yokohamashi tobu Hospital
bDepartment of Thoracic Surgery, Saiseikai Yokohamashi tobu Hospital

ABSTRACT

We report the case of a 52-year-old woman who was referred to our department due to the detection of a nodule in the lingular division of the left lung on chest computed tomography (CT). A systemic arterio-pulmonary venous fistula with the branch of the left gastric artery as an inflow vessel and pulmonary venous outflow was suspected on contrast-enhanced CT. Angiography was performed, which indicated inflow from the left gastric artery. Partial resection of the lingular division of the left lung was performed. Perioperative findings included cord-like structures that appeared to be inflowing blood vessels in the adipose tissue on the diaphragm side of the left thoracic cavity. Herein, we report a case of systemic arterio-pulmonary venous fistula arising from the left gastric artery, which is a rare condition with unclear pathophysiology and prognosis.

KEYWORDS

Systemic arterio-pulmonary venous fistula (SAPVF)  Pulmonary arteriovenous malformation (PAVM)  Left gastric artery  Tuberculous pleurisy 

Received 21 Jul 2021 / Accepted 7 Dec 2021

AJRS, 11(2): 122-126, 2022

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