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
Formato:	article
Lenguaje:	EN SR
Publicado:	Military Health Department, Ministry of Defance, Serbia 2021
Materias:	arteriovenous malformations computed tomography angiography embolization, therapeutic endovascular procedures multidetector computed tomography Medicine (General) R5-920
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 AT sagicdragan pulmonaryarteriovenousmalformationcasereport AT rusovicsinisa pulmonaryarteriovenousmalformationcasereport AT dulovicdragan pulmonaryarteriovenousmalformationcasereport AT pasovskiviktor pulmonaryarteriovenousmalformationcasereport AT boskovicsekulicjelena pulmonaryarteriovenousmalformationcasereport AT rancicnemanja pulmonaryarteriovenousmalformationcasereport AT stevanovicjelena pulmonaryarteriovenousmalformationcasereport AT raicevicranko pulmonaryarteriovenousmalformationcasereport
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Pulmonary arteriovenous malformation: Case report

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