Pulmonary arteriovenous malformation: Case report

Introduction. Pulmonary arteriovenous malformation (PAVM) is pathological communication between pulmonary artery and pulmonary vein, in way that it shunts normal alveolar capillary membrane resulting in inadequate blood oxygenation in this part of the lung parenchyma Modern therapy of PAVMs includes...

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Autores principales: Sekulić Igor, Sagić Dragan, Rusović Siniša, Dulović Dragan, Pasovski Viktor, Bošković-Sekulić Jelena, Rančić Nemanja, Stevanović Jelena, Raičević Ranko
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Publicado: Military Health Department, Ministry of Defance, Serbia 2021
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Acceso en línea:https://doaj.org/article/bdf07a6212684560bc102e75d79b1bd9
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spelling oai:doaj.org-article:bdf07a6212684560bc102e75d79b1bd92021-11-10T07:27:57ZPulmonary arteriovenous malformation: Case report0042-84502406-072010.2298/VSP190819029Shttps://doaj.org/article/bdf07a6212684560bc102e75d79b1bd92021-01-01T00:00:00Zhttp://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84502000029S.pdfhttps://doaj.org/toc/0042-8450https://doaj.org/toc/2406-0720Introduction. Pulmonary arteriovenous malformation (PAVM) is pathological communication between pulmonary artery and pulmonary vein, in way that it shunts normal alveolar capillary membrane resulting in inadequate blood oxygenation in this part of the lung parenchyma Modern therapy of PAVMs includes surgical treatment or endovascular embolization. Case report. A 30-year-old female patient had signs of parestesia and weakness of the extremities on the left side of her body. On physical examination there was only cyanotic discoloration of her lips and clubbing fingers. On the chest x-ray, in the right hemithorax, in the inferior region of the lung, there was relatively homogeneous and well defined shadow, intensity of the soft tissue, which was about 35 mm. A multislice computed tomography pulmonary angiography was performed and showed, in lung parenchyma on both sides, many PAVMs, of which the largest (35 mm) was in inferior right region of the lung on crossing between apical and posterior basal lung segment with 7 mm diameter feeding artery and 9 mm diameter draining vein. The selective pulmonary angiography was per-formed by Seldingers technique. Through sheath, we placed a plug with a diameter of 10 mm. The plug was expanded and a complete occlusion of the final part of the feeding branch of this PAVM was achieved (confirmed by control angiography). In that way, the PAVM was fully shut off from the circulation. In 3 months follow-up, the patient was feeling well, without any recorded complication. Conclusion. Endovascular embolization is recommended as therapy of the first choice for all of PAVMs that have feeding artery greater than 2 mm. Endovascular embolization has high success rate with minimal complications.Sekulić IgorSagić DraganRusović SinišaDulović DraganPasovski ViktorBošković-Sekulić JelenaRančić NemanjaStevanović JelenaRaičević RankoMilitary Health Department, Ministry of Defance, Serbiaarticlearteriovenous malformationscomputed tomography angiographyembolization, therapeuticendovascular proceduresmultidetector computed tomographyMedicine (General)R5-920ENSRVojnosanitetski Pregled, Vol 78, Iss 10, Pp 1096-1102 (2021)
institution DOAJ
collection DOAJ
language EN
SR
topic arteriovenous malformations
computed tomography angiography
embolization, therapeutic
endovascular procedures
multidetector computed tomography
Medicine (General)
R5-920
spellingShingle arteriovenous malformations
computed tomography angiography
embolization, therapeutic
endovascular procedures
multidetector computed tomography
Medicine (General)
R5-920
Sekulić Igor
Sagić Dragan
Rusović Siniša
Dulović Dragan
Pasovski Viktor
Bošković-Sekulić Jelena
Rančić Nemanja
Stevanović Jelena
Raičević Ranko
Pulmonary arteriovenous malformation: Case report
description Introduction. Pulmonary arteriovenous malformation (PAVM) is pathological communication between pulmonary artery and pulmonary vein, in way that it shunts normal alveolar capillary membrane resulting in inadequate blood oxygenation in this part of the lung parenchyma Modern therapy of PAVMs includes surgical treatment or endovascular embolization. Case report. A 30-year-old female patient had signs of parestesia and weakness of the extremities on the left side of her body. On physical examination there was only cyanotic discoloration of her lips and clubbing fingers. On the chest x-ray, in the right hemithorax, in the inferior region of the lung, there was relatively homogeneous and well defined shadow, intensity of the soft tissue, which was about 35 mm. A multislice computed tomography pulmonary angiography was performed and showed, in lung parenchyma on both sides, many PAVMs, of which the largest (35 mm) was in inferior right region of the lung on crossing between apical and posterior basal lung segment with 7 mm diameter feeding artery and 9 mm diameter draining vein. The selective pulmonary angiography was per-formed by Seldingers technique. Through sheath, we placed a plug with a diameter of 10 mm. The plug was expanded and a complete occlusion of the final part of the feeding branch of this PAVM was achieved (confirmed by control angiography). In that way, the PAVM was fully shut off from the circulation. In 3 months follow-up, the patient was feeling well, without any recorded complication. Conclusion. Endovascular embolization is recommended as therapy of the first choice for all of PAVMs that have feeding artery greater than 2 mm. Endovascular embolization has high success rate with minimal complications.
format article
author Sekulić Igor
Sagić Dragan
Rusović Siniša
Dulović Dragan
Pasovski Viktor
Bošković-Sekulić Jelena
Rančić Nemanja
Stevanović Jelena
Raičević Ranko
author_facet Sekulić Igor
Sagić Dragan
Rusović Siniša
Dulović Dragan
Pasovski Viktor
Bošković-Sekulić Jelena
Rančić Nemanja
Stevanović Jelena
Raičević Ranko
author_sort Sekulić Igor
title Pulmonary arteriovenous malformation: Case report
title_short Pulmonary arteriovenous malformation: Case report
title_full Pulmonary arteriovenous malformation: Case report
title_fullStr Pulmonary arteriovenous malformation: Case report
title_full_unstemmed Pulmonary arteriovenous malformation: Case report
title_sort pulmonary arteriovenous malformation: case report
publisher Military Health Department, Ministry of Defance, Serbia
publishDate 2021
url https://doaj.org/article/bdf07a6212684560bc102e75d79b1bd9
work_keys_str_mv AT sekulicigor pulmonaryarteriovenousmalformationcasereport
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AT rusovicsinisa pulmonaryarteriovenousmalformationcasereport
AT dulovicdragan pulmonaryarteriovenousmalformationcasereport
AT pasovskiviktor pulmonaryarteriovenousmalformationcasereport
AT boskovicsekulicjelena pulmonaryarteriovenousmalformationcasereport
AT rancicnemanja pulmonaryarteriovenousmalformationcasereport
AT stevanovicjelena pulmonaryarteriovenousmalformationcasereport
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