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The communication between pulmonary artery and pulmonary vein or between a bronchial artery and the pulmonary vein is called as pulmonary arterio-venous malformation. Dyspnea on exertion, fatigue, nasal bleeding, bluish discoloration of lips and nail beds and hemoptysis are common presenting complaints. In childhood only 10% of cases are identified. Cerebral vascular accidents, brain abscess, hemothorax, life threatening hemoptysis are the complications of large pulmonary arteriovenous malformation. We present you a series of three cases that were diagnosed to have pulmonary AV malformations and presented to us with various clinical pictures. All three patients were surgically managed and discharged uneventfully.

Surgical Management of Medium to Large Size Pulmonary AV Malformations- A Case Series