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2014 | 10 | 1 |
Tytuł artykułu

A case of Multiple Unilateral Pulmonary arteriovenous Malformation Relapse: Efficacy of embolization treatment

Treść / Zawartość
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Języki publikacji
EN
Abstrakty
EN
Pulmonary arteriovenous Malformations (PAVMs) are a rare vascular alteration characterized by abnormal communications between the pulmonary arteries and veins resulting in an extracardiac right-to-left (R-L) shunt. The majority of PAVMs are associated with an autosomal dominant vascular disorder also known as Osler-Weber- Rendu Syndrome. PAVMs appearance can be both single and multiple. Clinical manifestations include hypoxemia, dyspnea cyanosis, hemoptysis and cerebrovascular ischemic events or abscesses. We report a case of an 18 year old female with severe respiratory failure caused by a relapse of multiple unilateral pulmonary arterovenous fistula. Symptoms at admission include dyspnea, cyanosis and clubbing. The patient underwent pulmonary angio-TC scan, brain CT and echocardiography. The thoracic angio-CT scan showed the presence of PAVMs of RUL and RLL; a marked increase of right bronchial artery caliber and its branches with an aneurismatic dilatation was also observed. The patient underwent percutaneous transcatheter embolization using Amplatzer Vascular Plug IV; a relevant clinical and functional improvement was subsequently recorded. Embolization is effective in the treatment of relapsing PAVMS.
Wydawca

Czasopismo
Rocznik
Tom
10
Numer
1
Opis fizyczny
Daty
wydano
2015-01-01
otrzymano
2015-10-26
zaakceptowano
2015-11-04
online
2015-12-17
Twórcy
  • Department of Cardio- Thoracic and Respiratory Sciences – Second University of Naples - Monaldi Hospital, Naples, Italy Giovanni Rossi: U.O.C. Radiology A.O.R.N dei Colli – Monaldi Hospital, Naples, Italy
  • Department of Cardio- Thoracic and Respiratory Sciences – Second University of Naples - Monaldi Hospital, Naples, Italy
  • Department of Cardio- Thoracic and Respiratory Sciences – Second University of Naples - Monaldi Hospital, Naples, Italy
  • Department of Cardio- Thoracic and Respiratory Sciences – Second University of Naples - Monaldi Hospital, Naples, Italy
  • Department of Cardio- Thoracic and Respiratory Sciences – Second University of Naples - Monaldi Hospital, Naples, Italy
  • U.O.C. Radiology A.O.R.N dei Colli – Monaldi Hospital, Naples, Italy
  • Department of Cardio- Thoracic and Respiratory Sciences – Second University of Naples - Monaldi Hospital, Naples, Italy
autor
  • Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy
autor
  • Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy
  • Department of Medicine and Health Sciences “V. Tiberio”, University of Molise, Campobasso, Italy
  • Department of Medicine and Health Sciences “V. Tiberio”, University of Molise, Campobasso, Italy
  • Department of Cardio- Thoracic and Respiratory Sciences – Second University of Naples - Monaldi Hospital, Naples, Italy, perrotta572@msn.com
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_med-2015-0087
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