Abaza Masa, Abdel-Aal Ahmed K, Almehmi Ammar
Department of Biology, University of Alaska at Anchorage, Anchorage, AK, USA.
Department of Interventional Radiology, University of Texas at Houston, Houston, TX, USA.
Radiol Case Rep. 2021 Oct 20;16(12):3965-3968. doi: 10.1016/j.radcr.2021.09.024. eCollection 2021 Dec.
Arteriovenous malformations (AVMs) are congenital high flow pathologic linkages between arteries and veins of different sizes that may occur in any part of the body. The clinical presentation is largely dependent on the size and location of AVMs and can range from an asymptomatic birthmark to congestive heart failure in extreme cases. In this report, we describe a 20-year-old male who presented with a large AVM of the right shoulder that resulted in significant cosmetic and physical impairment and treated with several sessions of endovascular embolization with good clinical outcomes. This case highlights the complexity of diagnosing and managing these AVMs. Most of these anomalies require a multi-disciplinary approach that integrates both trans-catheter and surgical interventions with trans-arterial lesion embolization being the cornerstone of the treatment.
动静脉畸形（AVM）是不同大小的动脉与静脉之间的先天性高流量病理性连接，可发生于身体的任何部位。临床表现很大程度上取决于AVM的大小和位置，从无症状的胎记到极端情况下的充血性心力衰竭不等。在本报告中，我们描述了一名20岁男性，其右肩部出现一个巨大的AVM，导致严重的外观和身体损害，经多次血管内栓塞治疗后取得了良好的临床效果。该病例突出了诊断和管理这些AVM的复杂性。大多数此类异常需要多学科方法，将经导管和手术干预相结合，经动脉病变栓塞是治疗的基石。
