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A Simplified Technique

CHURCH E. MURDOCK, JR., M.D.

AMA Arch Surg. 1963;86(4):540-543.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Pulmonary arteriovenous fistulae are preferably excised without sacrifice of pulmonary parenchyma. This was first accomplished by Janes.⁸

It is the purpose of this paper to submit a safe, simple technique for accomplishment of this goal in the less extensive lesion.

It is evident that such a procedure demands some means of controlling accidental hemorrhage. Several methods for controlling the pulmonary hilum are available. Experimental work has established the safety of complete lung root occlusion for at least one hour.^2,3,7 It is worth noting, however, that total pulmonary ischemia is not easily attained and requires several complex maneuvers to insure completeness.⁷

Clinically, Blades⁴ has utilized occlusion of the pulmonary artery and veins in segmental resections of the lung. Parker and Stallworth¹⁰ and Bosher et al.⁵ have employed a similar procedure with the addition of bronchial artery occlusion for resection of pulmonary arteriovenous fistulae. Baffes et . . . [Full Text PDF of this Article]

Author Affiliations
MOBILE, ALA.

Footnotes
Submitted for publication June 15, 1962.

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