Diagnostic Dilemma in a Case of Diffuse Pulmonary Arteriovenous Malformation With Vascular Stenosis
Diffuse pulmonary arteriovenous malformation is a rare entity, the exact incidence of which is unknown. It can be limited to a single lobe, or it can diffusely involve one or both the lungs. Early diagnosis and treatment is crucial, as it is associated with increased frequency of thoracic and neurol...
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| Published in: | The Annals of thoracic surgery Vol. 110; no. 1; pp. e47 - e49 |
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01-07-2020
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| Abstract | Diffuse pulmonary arteriovenous malformation is a rare entity, the exact incidence of which is unknown. It can be limited to a single lobe, or it can diffusely involve one or both the lungs. Early diagnosis and treatment is crucial, as it is associated with increased frequency of thoracic and neurologic complications. Different diagnostic modalities offer some advantages over the others. None of the reported cases in the literature have associated stenosis of any major artery. We describe a rare case of diffuse pulmonary arteriovenous malformation limited to a lobe associated with descending pulmonary artery stenosis. |
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| AbstractList | Diffuse pulmonary arterio-venous malformation (PAVM) is a rare entity, exact incidence of which is unknown. It can be limited to a single lobe, or diffusely involve one or both the lungs. The early diagnosis and treatment is crucial, as it is associated with increased frequency of thoracic and neurological complications. Different diagnostic modalities offer some advantage over the other. None of the reported cases in literature has associated stenosis of any major artery. Here, we describe a rare case of diffuse PAVM limited to a lobe associated with descending pulmonary artery stenosis. Diffuse pulmonary arteriovenous malformation is a rare entity, the exact incidence of which is unknown. It can be limited to a single lobe, or it can diffusely involve one or both the lungs. Early diagnosis and treatment is crucial, as it is associated with increased frequency of thoracic and neurologic complications. Different diagnostic modalities offer some advantages over the others. None of the reported cases in the literature have associated stenosis of any major artery. We describe a rare case of diffuse pulmonary arteriovenous malformation limited to a lobe associated with descending pulmonary artery stenosis. |
| Author | Deshpande, Amit Khurana, Rishabh Kumar, Sanjeev Chandrashekhara, SH Shaw, Manish |
| Author_xml | – sequence: 1 givenname: Amit surname: Deshpande fullname: Deshpande, Amit – sequence: 2 givenname: SH surname: Chandrashekhara fullname: Chandrashekhara, SH – sequence: 3 givenname: Sanjeev surname: Kumar fullname: Kumar, Sanjeev email: sanjeevradio@gmail.com – sequence: 4 givenname: Manish surname: Shaw fullname: Shaw, Manish – sequence: 5 givenname: Rishabh surname: Khurana fullname: Khurana, Rishabh |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31877288$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1378/chest.07-1949 10.1378/chest.06-2356 10.21037/cdt.2017.12.08 |
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| Copyright | 2020 The Society of Thoracic Surgeons Copyright © 2019. Published by Elsevier Inc. |
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| Keywords | CT Diffuse pulmonary AVM catheter angiography TTCE |
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| References | Zukotynski, Chan, Chow, Cohen, Faughnan (bib2) 2007; 132 Chamarthy, Park, Sutphin (bib3) 2018; 8 Pierucci, Murphy, Henderson, Chyun, White (bib1) 2008; 133 Chamarthy (10.1016/j.athoracsur.2019.10.088_bib3) 2018; 8 Pierucci (10.1016/j.athoracsur.2019.10.088_bib1) 2008; 133 Zukotynski (10.1016/j.athoracsur.2019.10.088_bib2) 2007; 132 |
| References_xml | – volume: 8 start-page: 338 year: 2018 end-page: 349 ident: bib3 article-title: Pulmonary arteriovenous malformations: endovascular therapy publication-title: Cardiovasc Diagn Ther contributor: fullname: Sutphin – volume: 133 start-page: 653 year: 2008 end-page: 661 ident: bib1 article-title: New definition and natural history of patients with diffuse pulmonary arteriovenous malformations: twenty-seven-year experience publication-title: Chest contributor: fullname: White – volume: 132 start-page: 18 year: 2007 end-page: 23 ident: bib2 article-title: Contrast echocardiography grading predicts pulmonary arteriovenous malformations on CT publication-title: Chest contributor: fullname: Faughnan – volume: 133 start-page: 653 year: 2008 ident: 10.1016/j.athoracsur.2019.10.088_bib1 article-title: New definition and natural history of patients with diffuse pulmonary arteriovenous malformations: twenty-seven-year experience publication-title: Chest doi: 10.1378/chest.07-1949 contributor: fullname: Pierucci – volume: 132 start-page: 18 year: 2007 ident: 10.1016/j.athoracsur.2019.10.088_bib2 article-title: Contrast echocardiography grading predicts pulmonary arteriovenous malformations on CT publication-title: Chest doi: 10.1378/chest.06-2356 contributor: fullname: Zukotynski – volume: 8 start-page: 338 year: 2018 ident: 10.1016/j.athoracsur.2019.10.088_bib3 article-title: Pulmonary arteriovenous malformations: endovascular therapy publication-title: Cardiovasc Diagn Ther doi: 10.21037/cdt.2017.12.08 contributor: fullname: Chamarthy |
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| Snippet | Diffuse pulmonary arteriovenous malformation is a rare entity, the exact incidence of which is unknown. It can be limited to a single lobe, or it can diffusely... Diffuse pulmonary arterio-venous malformation (PAVM) is a rare entity, exact incidence of which is unknown. It can be limited to a single lobe, or diffusely... |
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| Title | Diagnostic Dilemma in a Case of Diffuse Pulmonary Arteriovenous Malformation With Vascular Stenosis |
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