Late Presented Posttraumatic Pulmonary Arteriovenous Fistulea Occlusion With Septal Occluder Device

Posttraumatic pulmonary arteriovenous fistulea is a rare complication of generally penetrating type of injuries. It can be assymptomatic for years and can be subsequently diagnosed. We present a case of pulmonary arteriovenous fistulea related to penetrating thorax trauma before 6 years which was occluded with septal occluder device. Regular use of CT or conventional catheter pulmonary angiography following penetrating thorax trauma cases is essential for diagnose of pulmonary arteriovenous fistulea which can became symptomatic in the future. New generation occluder devices make transcatheter approach an alternative to surgery in selected cases for closure of high pressure and large defects.

Travma Sonrasý Geç Prezente Olmuþ Pulmoner Arteriyovenöz Fistülün Septal Týkayýcý Cihaz Ýle Kapatýlmasý

Travmatik pulmoner arteriyovenöz fistül (PAVF) genelde penetran yaralanmalardan sonra geliþen nadir bir komplikasyondur. Yýllarca asemptomatik kalarak geç dönemde tespit edilebilir. Bu yazýda altý yýl önce geçirilmiþ penetran toraks travmasý sonrasý geliþen ve septal týkayýcý cihaz ile kapatýlan PAVF vakasý sunulmuþtur. Penetran toraks travmalarýnda bilgisayarlý tomografik anjiyografi(BT-Anjiyografi) ve pulmoner arteriyografinin rutin olarak kullanýlmasý geç dönemde oluþabilecek semptomatik PAVF tespitinde önemlidir. Yeni nesil týkayýcý cihazlar sayesinde daha geniþ ve yüksek basýnçlý defektlerin kapatýlmasýnda transkateter yaklaþým uygun vakalarda cerrahi tedaviye alternatif olabilir.