肺动静脉畸形：年轻患者不明原因缺氧和急性呼吸困难的罕见病因。
Pulmonary arteriovascular malformation: a rare cause of unexplained hypoxia and acute dyspnoea in young patients.
作者信息
Iqbal Nousheen, Rehman Karim Abdur, Khan Javaid Ahmed, Haq Tanveer Ul
机构信息
Department of Medicine, Aga Khan Hospital, Karachi, Sindh, Pakistan.
Aga Khan University Hospital, Karachi, Sindh, Pakistan.
出版信息
BMJ Case Rep. 2014 Dec 19;2014:bcr2014207222. doi: 10.1136/bcr-2014-207222.
Abstract
Pulmonary arteriovenous malformations (PAVMs) are anomalous vascular connections between arteries and veins in the lung and comprise of two types, simple and complex. PAVMs are associated with congenital conditions such as hereditary haemorrhagic telengiectasia along with acquired causes. We present a case of a 26-year-old man who presented with dyspnoea, palpitations and decreased oxygen saturation as an initial presentation of PAVM, which was treated successively with embolisation.
摘要
肺动静脉畸形（PAVM）是肺内动脉与静脉之间的异常血管连接，包括简单型和复杂型两种类型。PAVM与先天性疾病如遗传性出血性毛细血管扩张症以及后天性病因有关。我们报告一例26岁男性患者，其最初表现为呼吸困难、心悸和氧饱和度下降，诊断为PAVM，随后接受了栓塞治疗。
相似文献
1
Pulmonary arteriovascular malformation: a rare cause of unexplained hypoxia and acute dyspnoea in young patients.肺动静脉畸形：年轻患者不明原因缺氧和急性呼吸困难的罕见病因。
BMJ Case Rep. 2014 Dec 19;2014:bcr2014207222. doi: 10.1136/bcr-2014-207222.
2
Pulmonary arteriovenous malformations: a clinical review.肺动静脉畸形：临床综述
Postgrad Med J. 2000 Jul;76(897):390-4. doi: 10.1136/pmj.76.897.390.
3
Transcatheter closure of a pulmonary arteriovenous malformation in a patient with hereditary hemorrhagic telangiectasia.遗传性出血性毛细血管扩张症患者经导管封堵肺动静脉畸形
Cardiovasc Interv Ther. 2015 Jul;30(3):270-2. doi: 10.1007/s12928-014-0276-2. Epub 2014 Jun 14.
4
Neonatal pulmonary arteriovenous malformation in hereditary haemorrhagic telangiectasia.遗传性出血性毛细血管扩张症中的新生儿肺动静脉畸形
Arch Dis Child Fetal Neonatal Ed. 2002 Nov;87(3):F226-7. doi: 10.1136/fn.87.3.f226.
5
Usefulness of Transcranial Doppler for Detecting Pulmonary Arteriovenous Malformations in Hereditary Hemorrhagic Telangiectasia.经颅多普勒超声在检测遗传性出血性毛细血管扩张症肺动静脉畸形中的应用价值
Am J Cardiol. 2016 Apr 1;117(7):1180-4. doi: 10.1016/j.amjcard.2015.12.061. Epub 2016 Jan 14.
6
Clinical characteristics of pulmonary arteriovenous malformations in Koreans.韩国人肺动静脉畸形的临床特征。
Respirology. 2015 Jan;20(1):155-9. doi: 10.1111/resp.12411. Epub 2014 Oct 7.
7
Severe, chronic cough caused by pulmonary arteriovenous malformations in a patient with hereditary haemorrhagic telangiectasia: case report.遗传性出血性毛细血管扩张症患者因肺动静脉畸形引起的严重慢性咳嗽：病例报告
BMC Pulm Med. 2015 Mar 28;15:28. doi: 10.1186/s12890-015-0024-0.
8
Endovascular occlusion of pulmonary arteriovenous malformations with the ArtVentive Endoluminal Occlusion System™.使用ArtVentive腔内闭塞系统™对肺动静脉畸形进行血管内闭塞。
Diagn Interv Radiol. 2016 Sep-Oct;22(5):463-5. doi: 10.5152/dir.2016.15620.
9
Interventional embolization of a giant pulmonary arteriovenous malformation with right-left-shunt associated with hereditary hemorrhagic telangiectasia.对与遗传性出血性毛细血管扩张症相关的伴有右向左分流的巨大肺动静脉畸形进行介入栓塞治疗。
Clin Res Cardiol. 2006 Mar;95(3):174-8. doi: 10.1007/s00392-006-0345-3. Epub 2006 Jan 19.
10
Pulmonary arteriovenous malformations: percutaneous treatment preserving parenchyma in high-flow fistulae.肺动静脉畸形：在高流量瘘中保留实质的经皮治疗。
Radiol Med. 2008 Apr;113(3):395-413. doi: 10.1007/s11547-008-0261-x. Epub 2008 Jul 9.
引用本文的文献
1
Endovascular Embolisation of Pulmonary Arteriovenous Malformation Using Amplatzer Vascular Plugs.使用Amplatzer血管封堵器对肺动静脉畸形进行血管内栓塞术
Cureus. 2022 Apr 17;14(4):e24214. doi: 10.7759/cureus.24214. eCollection 2022 Apr.
2
Severe hypoxemia due to intrapulmonary right-to-left shunt: AVM embolization through internal jugular access.由于肺内右向左分流导致的严重低氧血症：经颈内静脉途径进行动静脉畸形栓塞术
Porto Biomed J. 2020 Jan 21;5(1):e44. doi: 10.1097/j.pbj.0000000000000044. eCollection 2020 Jan-Feb.
本文引用的文献
1
Cardiopulmonary exercise testing demonstrates maintenance of exercise capacity in patients with hypoxemia and pulmonary arteriovenous malformations.心肺运动测试显示，在伴有低氧血症和肺动静脉畸形的患者中，运动能力得以维持。
Chest. 2014 Sep;146(3):709-718. doi: 10.1378/chest.13-2988.
2
Arterial oxygen content is precisely maintained by graded erythrocytotic responses in settings of high/normal serum iron levels, and predicts exercise capacity: an observational study of hypoxaemic patients with pulmonary arteriovenous malformations.在血清铁水平高/正常的情况下，动脉血氧含量通过分级红细胞增多反应精确维持，并可预测运动能力：一项对低氧血症性肺动静脉畸形患者的观察性研究。
PLoS One. 2014 Mar 17;9(3):e90777. doi: 10.1371/journal.pone.0090777. eCollection 2014.
3
Management of pulmonary arteriovenous malformations.肺动静脉畸形的管理
Semin Intervent Radiol. 2011 Mar;28(1):24-31. doi: 10.1055/s-0031-1273937.
4
Pulmonary arteriovenous fistulas: Mayo Clinic experience, 1982-1997.肺动静脉瘘：梅奥诊所的经验，1982 - 1997年
Mayo Clin Proc. 1999 Jul;74(7):671-80. doi: 10.4065/74.7.671.
5
Angioarchitecture of pulmonary arteriovenous malformations: an important consideration before embolotherapy.肺动静脉畸形的血管构筑：栓塞治疗前的重要考量因素
AJR Am J Roentgenol. 1983 Apr;140(4):681-6. doi: 10.2214/ajr.140.4.681.
Zotero 插件