Multiple strokes due to pulmonary arteriovenous malformation
| Autor: | Gerald Hollander, Arsalan Talib Hashmi, Hitesh Raheja, Asiya Batool, Adnan Sadiq, Mazin Khalid |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Percutaneous medicine.medical_treatment R895-920 Case Report Congenital absence of internal carotid artery Pulmonary arteriovenous malformation Pulmonary vein Medical physics. Medical radiology. Nuclear medicine Internal medicine medicine.artery medicine Radiology Nuclear Medicine and imaging cardiovascular diseases Embolization Recurrent stroke Stroke Extracardiac left to right shunt business.industry medicine.disease Shunting medicine.anatomical_structure Ventricle Pulmonary artery cardiovascular system Cardiology Transthoracic echocardiogram business |
| Zdroj: | Radiology Case Reports Radiology Case Reports, Vol 16, Iss 9, Pp 2362-2365 (2021) |
| ISSN: | 1930-0433 |
| DOI: | 10.1016/j.radcr.2021.06.013 |
| Popis: | We present a case of recurrent strokes in a patient with absent left internal carotid artery (ICA) and pulmonary arteriovenous malformation. Pulmonary arteriovenous malformations (PAVMs) are abnormal communications between pulmonary artery and pulmonary vein, cause extracardiac right to left shunting of blood and are known to significantly increase the risk of stroke primarily due to paradoxical embolization. They are often hereditary and are commonly associated with hereditary hemorrhagic telangiectasias (HHT). Delayed bubbles seen in the left ventricle (after 3 cardiac cycles) on transthoracic echocardiogram with bubble study is often the first clue to the presence of PAVMs. CT scan of the chest can confirm the diagnosis. Percutaneous embolotherapy is the treatment of choice with reduction in stroke risk post embolization. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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