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Pulmonary arteriovenous fistula coexisting with secundum atrial septal defect

An unusual cause of stroke in a young woman

Pulmonale arteriovenöse Fistel bei Ostium-secundum-Defekt

Ungewöhnliche Schlaganfallursache bei einer jungen Frau

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Abstract

Pulmonary arteriovenous malformations (PAVM) consist of an abnormal connection between the pulmonary artery and vein bypassing the pulmonary capillary bed. Pulmonary arteriovenous fistulae are characterized by a right-to-left shunt of variable magnitude, and they may be accompanied by other congenital anomalies. We describe a case of pulmonary arteriovenous fistula with a secundum type atrial septal defect (ASD) in a 38-year-old woman, who underwent successful transcatheter closure of both the ASD and PAVM.

Zusammenfassung

Bei pulmonalen arteriovenösen Malformationen (PAVM) besteht eine anomale Verbindung zwischen der A. und V. pulmonalis ohne dazwischen liegendes pulmonales Kapillarbett. Pulmonale arteriovenöse Fisteln sind gekennzeichnet durch einen Rechts-links-Shunt variabler Größe und können mit anderen angeborenen Fehlbildungen einhergehen. Hier wird der Fall einer pulmonalen arteriovenösen Fistel mit einem Vorhofseptumdefekt (ASD) vom Ostium-secundum-Typ bei einer 38-jährigen Frau beschrieben, bei der sowohl der ASD als auch die PAVM erfolgreich mittels Katheterintervention verschlossen wurden.

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References

  1. Baumgartner H, Bonhoeffer P, De Groot NMS et al (2010) ESC Guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J 31:2915–2957

    Article  PubMed  Google Scholar 

  2. Hodgson CH, Kaye RL (1963) Pulmonary arteriovenous fistula and hereditary hemorrhagic telangiectasia: a review and report of 35 cases of fistula. Dis Chest 43:449

    Article  PubMed  CAS  Google Scholar 

  3. Iqbal M, Rosof LJ, Steinberg HN et al (2000) Pulmonary arteriovenous malformations: a clinical review. Postgrad Med J 76:390–394

    Article  PubMed  CAS  Google Scholar 

  4. Halkati PC, Patted SV, Dixit MD, Patil R (2010) Transcatheter occlusion of multiple pulmonary aretriovenous malformation. Ann Pediatr Cardiol 3:2

    Article  Google Scholar 

  5. Borrero CG, Zajko AB (2006) Pulmonary arteriovenous malformations: clinical features, diagnosis, and treatment. J Radiol Nurs 25:33–37

    Article  Google Scholar 

  6. White RI Jr, Lynch Nyhan A, Terry P et al (1988) Pulmonary arteriovenous malformations: techniques and long term outcome of embolotherapy. Radiology 169(3):663–669

    PubMed  Google Scholar 

  7. Yim D, D’Orsogna L (2001) Occlusion of a large pulmonary arteriovenous malformation in a pediatric patient using multiple vascular plugs. Heart Lung Circ 19:257–259

    Article  Google Scholar 

  8. Beck A, Dagan T, Matitiau A, Bruckheimer E (2006) Transcatheter closure of pulmonary arteriovenous malformations with amplatzer devices. Catheter Cardiovasc Interv 67:932–937

    Article  PubMed  Google Scholar 

  9. Letourneau-Guillon L, Faughnan ME, Soulez G et al (2010) Embolization of pulmonary arteriovenous malformations with amplatzer vascular plugs: safety and midterm effectiveness. J Vasc Interv Radiol 21:649–656

    Article  PubMed  Google Scholar 

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Conflict of interest

The corresponding author states that there are no conflicts of interest.

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Authors and Affiliations

  1. Department of Cardiology, Institute of Cardiology, Istanbul University, Haseki, Aksaray, 34350, Istanbul, Turkey

    M.S. Kucukoglu, U.Y. Sinan MD, K.O. Kilickesmez & T. Gurmen

  2. Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey

    I.L. Saltık

  3. Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey

    M. Dursun

Authors
  1. M.S. Kucukoglu
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  2. U.Y. Sinan MD
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  3. K.O. Kilickesmez
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  4. I.L. Saltık
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  5. M. Dursun
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  6. T. Gurmen
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Corresponding author

Correspondence to U.Y. Sinan MD.

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Kucukoglu, M., Sinan, U., Kilickesmez, K. et al. Pulmonary arteriovenous fistula coexisting with secundum atrial septal defect. Herz 37, 567–569 (2012). https://doi.org/10.1007/s00059-011-3569-6

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  • DOI: https://doi.org/10.1007/s00059-011-3569-6

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