Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Arteriovenous pulmonary fistulas – state of the art

Authors: Petrosyan K.V., Khakimov Kh.A.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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DOI: https://doi.org/10.24022/1814-6910-2021-18-4-273-280

UDC: 616.24:612.133/.134-089.86

Link: Clinical Physiology of Blood Circulaiton. 2021; 4 (18): 273-280

Quote as: Petrosyan K.V., Khakimov Kh.A. Arteriovenous pulmonary fistulas – state of the art. Clinical Physiology of Circulation. 2021; 18 (4): 273–80 (in Russ.). DOI: 10.24022/1814-6910-2021-18-4-273-280

Received / Accepted:  26.08.2021 / 04.10.2021

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Abstract

An arteriovenous fistula is an abnormal vascular connection between an artery and a vein without any intermediate capillary network. Such uncommon vascular fistulas can form both in the pulmonary and in the systemic circulation. In turn, arteriovenous pulmonary fistulas (AVPF), or arteriovenous pulmonary malformation are a very rare anomaly in the development of pulmonary vessels, represented by direct communication between the branches of the pulmonary arteries and pulmonary veins at different levels of division of the vascular tree of the lungs. According to several instrumental diagnostic methods, a definite diagnosis of AVPF is established, including contrast multispiral computed tomography, pulmonary angiography, and transthoracic echocardiography. Statistically, this malformation is found in the lower lobes of both lungs or the right middle lobe, more often in the right lung. This literary review presents a detailed review of literary sources devoted to such a rare but very formidable problem.

About Authors

Karen V. Petrosyan, Dr. Med. Sci., Endovascular Surgeon; ORCID

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