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

Leduc, François; Thipphavong, Seng; Matzinger, Fred; Dennie, Carole; Sundaresan, Sudhir · Ann Thorac Surg · 2009

case_report · Level V

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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.

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