Bilateral Pulmonary Arteriovenous Malformations: Challenges in a Rare and Complex Case.

Autor: Joshi A; Pediatrics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, IND., Saini V; Pediatrics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, IND., Bheemavarapu B; Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, IND., Cherukuri AMK; Pediatrics, Guntur Medical College, Guntur, IND., Shaban M; Pediatrics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Sep 26; Vol. 16 (9), pp. e70231. Date of Electronic Publication: 2024 Sep 26 (Print Publication: 2024).
DOI: 10.7759/cureus.70231
Abstrakt: Pulmonary arteriovenous malformations (PAVMs) are abnormal vascular connections between the pulmonary arteries and pulmonary veins. Despite their relatively uncommon incidence, PAVMs should be considered in the differential diagnosis of children presenting with cyanosis due to the life-threatening complications posed by paradoxical emboli. The primary management approach involves eliminating the abnormal connections, either through surgical or endovascular methods. We present a case of a five-year-old boy who was seen in the Outpatient Department with cyanosis of the lips and nail beds persisting for eight months. On examination, grade 3 clubbing was noted. Imaging and subsequent angiography revealed multiple bilateral diffuse AVMs, which were treated using an endovascular approach.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Joshi et al.)
Databáze: MEDLINE