Three patients with distal bronchopleural fistulas, in whom chest tube and drainage did not lead to closure of the fistulas, were successfully treated with tissue glue (Histoacryl), delivered through a thoracoscope. The fistulas were identified by injecting methylene blue through the suction canal of a fibreoptic bronchoscope. Patient 1 had multiple fistulas, needed several treatment sessions, ...

THE ANTEMORTEM diagnosis of pulmonary arteriovenous fistula was made for the first time by Smith and Horton in 1939.1 The lesion was suspected from the appearance of the chest x-ray and subsequently proved by inj ection of contrast media into an arm vein with visualization of the abnormal vascular communication in the right lung. Since then many such lesions have been suspected from clinical fi...

Herein, we report a case of multiple systemic arteries to pulmonary artery fistulas without any underlying causes, presenting recurrent hemoptysis. Transcatheter embolization was successfully performed several times on multiple systemic feeding arteries. Multiple systemic arteries to pulmonary fistulas can be a source of uncontrolled bleeding, and embolization may be a reasonable therapeutic op...

Coronary artery fistulas (CAFs) are found in 0.3-0.8% of patients who undergo coronary angiography. CAFs are defined as single or multiple, small or large direct communications that arise from one or more coronary arteries and enter into one of the four cardiac chambers or major vessels. We present two cases of multiple coronary artery fistulas arising from diagonal and left anterior descending...

the klippel-trenaunay syndrome, first reported in 1910, is a triad of cutaneous hemangioma, varicose veins, and soft tissue or bony hypertrophy. the varicosities are extensive involving the tributaries of the greater or lesser saphenous systems. arteriogram are normal with no evidence of arteriovenous fistulas. multiple ligation and stripping may worsen the condition, and treatment consists of ...

Perianal manifestations of Crohn's disease (CD) are common and, of them, fistulas are the most common. Perianal fistulas can be extremely debilitating for patients and are often very challenging for clinicians to treat. CD perianal fistulas usually require multidisciplinary and multimodality treatment, including both medical and surgical approaches. The majority of patients require multiple sur...

BACKGROUND AND PURPOSE A minority of intracranial dural arteriovenous fistulas progress with time. We sought to determine features that predict progression and define outcomes of patients with progressive dural arteriovenous fistulas. MATERIALS AND METHODS We performed a retrospective imaging and clinical record review of patients with intracranial dural arteriovenous fistula evaluated at our...

AIM The aim of this study was to assess the outcome of fibrin glue in high and low anal fistulas. METHODS A prospective, non-randomized trial was carried out on 30 patients who were diagnosed to have fistulas in ano. They were evaluated by categorizing them into high (with the internal opening above the anorectal ring)(14/30) and low anal fistulas (with the internal opening below the anorecta...