一名27岁女性在经皮卵圆孔未闭封堵术后发现肺动静脉瘘。

Pulmonary arteriovenous fistula discovered after percutaneous patent foramen ovale closure in a 27-year-old woman.

作者信息

Schussler Jeffrey M, Phillips Sabrina D, Anwar Azam

机构信息

Baylor University Medical Center, Department of Cardiology, Dallas, TX, USA.

出版信息

J Invasive Cardiol. 2003 Sep;15(9):527-9.

PMID:12947215

Abstract

We report the case of a 27-year-old woman with history of a transient ischemic attack who was diagnosed with a large patent foramen ovale (PFO). After percutaneous PFO closure, it was discovered that the patient had a pulmonary arteriovenous malformation (PAVM) and a diagnosis of hereditary hemorrhagic telangiectasia was made. The PAVM was later coil embolized. This case illustrates the importance of evaluating PFO closure patients for other causes of right-to-left shunting.

摘要

我们报告了一例27岁有短暂性脑缺血发作病史的女性病例，该患者被诊断为大型卵圆孔未闭（PFO）。经皮封堵卵圆孔未闭后，发现该患者患有肺动静脉畸形（PAVM），并确诊为遗传性出血性毛细血管扩张症。随后对肺动静脉畸形进行了弹簧圈栓塞。该病例说明了评估卵圆孔未闭封堵患者是否存在其他右向左分流原因的重要性。