Arteriovenous Malformation of Pelvis Treated with Hypothermic Arrest and Hemipelvectomy

Arteriovenous malformations are lesions which may cause significant complications including congestive heart failure, venous insufficiency, limb ischemia, or difficulty with feeding and respiration. The treatment of arteriovenous malformations can be quite involved due to the complexity of the lesion. The use of cardiopulmonary bypass equipment in noncardiac cases is not new as is evident in equipment use in liver transplantation, neurosurgery, and the delivery of hyperthermic anticancer therapy. The authors report on a 30-year-old male with a large arteriovenous malformation involving the left thigh and pelvis treated with deep hypothermic cardiopulmonary arrest and hemipelvectomy