The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Large left lung mass: an unexpected finding

EuroIntervention 2016;12:1194. DOI: 10.4244/EIJV12I9A193

1. Department of Coronary Artery and Structural Heart Diseases, Institute of Cardiology, Warsaw, Poland; 2. Department of Radiology, Institute of Cardiology, Warsaw, Poland

An 83-year-old female with a history of two coronary artery bypass graft surgeries and multiple comorbidities presented with aggravation of chronic heart failure accompanied by central cyanosis and nail clubbing. Pulse oximetry was 80-85% on room air, 95% on supplemental oxygen. Chest X-ray showed a large mass in the posterobasal area of the left lung (Panel A, arrow). Common states such as pneumonia or lung cancer were initially suspected, yet, surprisingly, contrast-enhanced computed tomography revealed a giant, 52 mm pulmonary arteriovenous fistula (Panel B, Panel E, #). The structure derived from the segmental branch of the left pulmonary artery (Panel B, ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from

Read next article
Bilateral, reversible coronary obstruction during aortic valve-in-valve implantation of a repositionable valve system

Latest news