Anticoli Sabrina, Pezzella Francesca Romana, Siniscalchi Antonio, Gallelli Luca, Bravi Maria Cristina
Stroke Unit Emergency Department, S. Camillo-Forlanini Hospital, Rome, Italy.
Department of Neurology, Annunziata Hospital, Cosenza, Italy.
Interv Neurol. 2015 Jan;3(1):27-30. doi: 10.1159/000368969.
Pulmonary arteriovenous malformation (PAVM) is an abnormal communication between pulmonary arteries and veins responsible for right-to-left shunting that could induce the development of embolic stroke.
We describe an 82-year-old woman without history of respiratory or neurological diseases, who presented at our observation unit with acute onset of cerebral ischemia. Clinical, laboratory and radiological findings diagnosed a PAVM.
Usually, endovascular procedures based on embolization or, alternatively, surgery represent the recommended treatment. However, both hormonal therapy and thrombolytic therapy can be used. In our patient, treatment with warfarin induced a remission of symptoms. This strategy should be tested in larger studies.
肺动静脉畸形（PAVM）是肺动脉与静脉之间的异常分流，可导致右向左分流，进而引发栓塞性中风。
我们描述了一名82岁女性，无呼吸或神经疾病史，因急性脑缺血入住我们的观察病房。临床、实验室和影像学检查结果诊断为PAVM。
通常，基于栓塞的血管内手术或手术是推荐的治疗方法。然而，激素治疗和溶栓治疗也可使用。在我们的患者中，华法林治疗使症状缓解。这一策略应在更大规模的研究中进行验证。
