Pulmonary Arteriovenous Malformation can be Associated with Embolic Stroke of Undetermined Source (ESUS)

Cruz, Mariana and Palma, Nuno and Rocha, Joao and Meireles, Ricardo (2019) Pulmonary Arteriovenous Malformation can be Associated with Embolic Stroke of Undetermined Source (ESUS). European Journal of Case Reports in Internal Medicine, 6 (11). ISSN 2284-2594

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Abstract

Pulmonary arteriovenous malformations (PAVMs) are rare vascular anomalies. Alternative designations are pulmonary arteriovenous fistulae or aneurysms. Although mostly asymptomatic, PAVMs can cause respiratory symptoms due to right-to-left shunt. The central nervous system is a potential target for complications, including stroke, as a result of paradoxical embolism. In this report, the authors describe an unusual case of cerebral emboli caused by paradoxical embolism through a PAVM, presenting with a broad pathology including orthodeoxia, central cyanosis and digital clubbing, which should be kept in mind since misdiagnosis may cause severe morbidity in young adults.

Item Type: Article
Uncontrolled Keywords: Idiopathic pulmonary arteriovenous malformation, embolic stroke, extra-cardiac shunt
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 19 Nov 2020 09:19
Last Modified: 19 Nov 2020 09:19
URI: http://eprints.bice.rm.cnr.it/id/eprint/19575

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