Pulmonary arteriovenous fistula

Table of Contents

Alternative Names

Arteriovenous malformation - pulmonary


Treatment

A small number of patients who have no symptoms may not need treatment. For most patients with fistulas, the treatment of choice is to block the fistula during an arteriogram (embolization).

Some patients may need surgery to remove the abnormal vessels and nearby lung tissue.

When arteriovenous fistulas are caused by liver disease, the treatment is a liver transplant.


Support Groups


Expectations (prognosis)

The outlook for patients with HHT is not as good as for those without HHT. For patients with HHT, surgery to remove the abnormal vessels usually has a good outcome, and the condition is not likely to return.


Complications

Major complications after treatment for this condition are unusual. Complications may include:

  • Bleeding in the lung
  • Blood clot that travels from the lungs to the arms, legs, or brain (paradoxical embolism)
  • Infection in the brain or heart valve

Calling your health care provider

Call your health care provider if you often have nosebleeds or difficulty breathing, especially if you also have a history of HHT.



Review Date: 09/15/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Denis Hadijiliadis, MD, Assistant Professor of Medicine, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)