Pulmonary Arteriovenous Malformation Causing Systemic Hypoxemia in Early Infancy
Joint Authors
Aggarwal, V.
Khan, D. M.
Rhodes, J. F.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-08
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Pulmonary arteriovenous malformation (AVM) is not routinely appreciated during the standard echocardiogram to assess for structural abnormalities or pulmonary hypertension.
The distal pulmonary AVM is suspected only if an injection of agitated saline is performed and late entry of particles is appreciated in the left heart structures.
A large or complex pulmonary AVM can result in significant right-to-left shunting and consequential systemic hypoxemia in the presence or absence of pulmonary hypertension.
For direct visualization of the pulmonary AVM, computerized tomography (CT) scan is the procedure of choice.
Here, we present two young infants with systemic hypoxemia who underwent standard medical management including mechanical ventilation and one patient was placed on extracorporeal membrane oxygenation (ECMO) before the diagnosis of pulmonary AVM was established.
Subsequently, both patients have done well into mid-term follow-up after being treated successfully using transcatheter occlusion techniques in the cardiac catheterization laboratory during early infancy.
We aim to emphasize the importance of a high index of suspicion for pulmonary AVM in infants with refractory systemic hypoxemia of unclear etiology.
American Psychological Association (APA)
Aggarwal, V.& Khan, D. M.& Rhodes, J. F.. 2017. Pulmonary Arteriovenous Malformation Causing Systemic Hypoxemia in Early Infancy. Case Reports in Pediatrics،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1149274
Modern Language Association (MLA)
Aggarwal, V.…[et al.]. Pulmonary Arteriovenous Malformation Causing Systemic Hypoxemia in Early Infancy. Case Reports in Pediatrics No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1149274
American Medical Association (AMA)
Aggarwal, V.& Khan, D. M.& Rhodes, J. F.. Pulmonary Arteriovenous Malformation Causing Systemic Hypoxemia in Early Infancy. Case Reports in Pediatrics. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1149274
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149274