Todo Kenichi, Moriwaki Hiroshi, Higashi Masahiro, Kimura Kohji, Naritomi Hiroaki
Department of Cerebrovascular Medicine, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
AJNR Am J Neuroradiol. 2004 Mar;25(3):428-30.
We report a case of recurrent paradoxical brain embolism mediated through a small pulmonary arteriovenous malformation (PAVM) with a 1.8-mm-diameter feeding artery. In this case, the further recurrent stroke was prevented successfully by PAVM embolization. Although embolization therapy is currently recommended only for PAVMs with feeding arteries greater than 3 mm in diameter, the therapy may be needed also in the smaller PAVMs.
我们报告一例通过直径1.8毫米的供血动脉的小型肺动静脉畸形(PAVM)介导的复发性反常脑栓塞病例。在该病例中,通过PAVM栓塞成功预防了进一步的复发性中风。尽管目前仅推荐对直径大于3毫米供血动脉的PAVM进行栓塞治疗,但对于较小的PAVM可能也需要这种治疗。