Bilateral multiple pulmonary arteriovenous fistulas treated by surgery and embolization

: A 46-year-old man, with an abnormal shadow in left lower area in chest X-ray was admitted to our hospital. Three dimensional computed tomography (3 D-CT) and pulmonary arteriogram revealed bilateral multiple pulmonary arteriovenous fistulas (PAVF). PAVF was simple in the right S8, and were multiple in the right lower lobe. PAVF in left side was treated with percutaneous transcatheter coil embolization. PVAFs in right side were treated by lower lobectomy. This combination therapy seemed to be useful for bilateral multiple PAVFs.