Multiple pulmonary arteriovenous fistulas in hereditary haemorrhagic teleangiectasia

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Multiple Small Pulmonary Arteriovenous Fistulas

THE ANTEMORTEM diagnosis of pulmonary arteriovenous fistula was made for the first time by Smith and Horton in 1939.1 The lesion was suspected from the appearance of the chest x-ray and subsequently proved by inj ection of contrast media into an arm vein with visualization of the abnormal vascular communication in the right lung. Since then many such lesions have been suspected from clinical fi...

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Neonatal pulmonary arteriovenous malformation in hereditary haemorrhagic telangiectasia.

A 3 week old infant presented with persistent hypoxaemia and was diagnosed with pulmonary arteriovenous malformations. Her family history was positive for hereditary haemorrhagic telangiectasia. She was treated successfully with coil embolotherapy at the age of 4 months. Transcatheter embolisation may be considered the primary treatment for pulmonary arteriovenous malformations in infancy.

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Arteriovenous malformations in hereditary haemorrhagic telangiectasia.

A non-smoker 61-year-old man presented with insidious shortness of breath and a history of chronic epistaxis for approximately three decades. The initial investigation revealed right basal crackles at auscultation, very subtle oral telangiectasia and a microcytic anaemia. A chest radiograph (Fig. 1A) demonstrated right basal rounded opacities communicating with the hilum. Further computed tomog...

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Hereditary telangiectasia and multiple pulmonary arteriovenous fistulas. Clinical deterioration during pregnancy.

We describe the effect of pregnancy on a woman with multiple pulmonary arteriovenous fistula. Pregnancy was terminated at 35 weeks' gestation because of severe hypoxemia. During the early postpartum period, the intrapulmonary shunt fraction enlarged, and hypoxemia worsened, necessitating emergency resection of the A-V fistula. Pregnancy may increase the intrapulmonary shunt fraction in patients...

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Multiple dural arteriovenous fistulas.

Four patients with multiple intracranial dural arteriovenous fistulas (DAVFs) at separate sites were treated by endovascular techniques (transarterial and/or transvenous embolization), surgery (excision or isolation), radiotherapy, or combinations, according to the pathophysiological condition. All lesions in two patients were obliterated completely without neurological deficit. There were resi...

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ژورنال

عنوان ژورنال: European Heart Journal

سال: 2006

ISSN: 1522-9645,0195-668X

DOI: 10.1093/eurheartj/ehi531