Steigerung der kardiopulmonalen Belastbarkeit durch Embolisation einer arteriovenösen Lungenfistel

Autor:	F.-J. Beck, Neuerburg J, Peter Hanrath, Rolf W. Günther, Sigmund M, Schmitz E
Rok vydání:	2008
Předmět:	Lung business.industry medicine.medical_treatment Pulmonary Fistula Arteriovenous fistula Physical exercise General Medicine medicine.disease Pulmonary Arteriovenous Fistula medicine.anatomical_structure Anesthesia medicine.artery Pulmonary artery medicine Embolization business Anaerobic exercise
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 118:1193-1198
ISSN:	1439-4413 0012-0472
DOI:	10.1055/s-2008-1059443
Popis:	A 21-year-old woman suffering from increasing dyspnoea on intense physical exercise, was found to have a congenital right-sided arteriovenous pulmonary fistula. This was successfully and without complication embolized using a percutaneously introduced Gianturco wire coil. All symptoms disappeared after this procedure. Definite improvement in physical performance, in comparison with pre-embolization values, was documented by spiroergometry as early as two days later (oxygen uptake 1855 vs. 1459 ml/min; anaerobic threshold 920 vs. 790 ml/min; oxygen-pulse 10.6 vs. 8.0 ml/beat; oxygen partial pressure 77.5 vs. 67.6 mmHg; alveolar arterial oxygen difference 33 vs. 44 mm Hg). Further constant subjective and objective improvement in physical performance was demonstrated 3 months after embolization. This case confirms that embolization of a pulmonary arteriovenous fistula can rapidly achieve lasting improvement in exercise performance.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::0bf0ac85a38584c5191217630f8d30fb https://doi.org/10.1055/s-2008-1059443 Zobrazit plný text záznamu