Unusual presentation of a complication after pulmonary wedge resection for coccidioma.

Abstract

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.

• Authors: François Leduc, Seng Thipphavong, Fred Matzinger, Carole Dennie, Sudhir Sundaresan
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 88 Issue 6 Pg. 2011-3 (Dec 2009) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 19932281 (Publication Type: Case Reports, Journal Article)

Topics

• Angiography
• Arteriovenous Fistula (diagnostic imaging, etiology, therapy)
• Coccidiosis (surgery)
• Diagnosis, Differential
• Embolization, Therapeutic
• Female
• Humans
• Lung Diseases, Parasitic (surgery)
• Middle Aged
• Pneumonectomy (adverse effects, methods)
• Postoperative Complications
• Pulmonary Artery (abnormalities)
• Pulmonary Veins (abnormalities)
• Tomography, X-Ray Computed