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April 1963

Pulmonary Arteriovenous Fistulectomy: A Simplified Technique

Author Affiliations


Arch Surg. 1963;86(4):540-543. doi:10.1001/archsurg.1963.01310100024004

Pulmonary arteriovenous fistulae are preferably excised without sacrifice of pulmonary parenchyma. This was first accomplished by Janes.8

It is the purpose of this paper to submit a safe, simple technique for accomplishment of this goal in the less extensive lesion.

It is evident that such a procedure demands some means of controlling accidental hemorrhage. Several methods for controlling the pulmonary hilum are available. Experimental work has established the safety of complete lung root occlusion for at least one hour.2,3,7 It is worth noting, however, that total pulmonary ischemia is not easily attained and requires several complex maneuvers to insure completeness.7

Clinically, Blades4 has utilized occlusion of the pulmonary artery and veins in segmental resections of the lung. Parker and Stallworth10 and Bosher et al.5 have employed a similar procedure with the addition of bronchial artery occlusion for resection of pulmonary arteriovenous fistulae. Baffes et

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