Zainudin Z, Azlisham N, Koh G T, Ooi Y K, Nunis M A
Universiti Putra Malaysia, Faculty of Medicine and Health Sciences, Department of Paediatrics, Serdang, Selangor, Malaysia.
Hospital Pakar Sultanah Fatimah, Department of Paediatrics, Malaysia.
Med J Malaysia. 2022 Mar;77(2):274-276.
Pulmonary arteriovenous malformation (PAVM) is a congenital vascular abnormality that can cause persistent cyanosis in children. PAVMs can go undetected till adulthood; however, there have been several neonatal cases reported over the years. This case report describes a classical manifestation of a child with isolated PAVM whose diagnosis was likely missed during the neonatal period. A high level of clinical awareness of this condition is crucial as early diagnosis and appropriate treatment can prevent lifethreatening complications and mortality. Diagnosis was confirmed by computed tomography pulmonary angiography and percutaneous transcatheter embolotherapy resulted in complete resolution of symptoms.
肺动静脉畸形（PAVM）是一种先天性血管异常，可导致儿童持续性发绀。PAVM在成年前可能未被发现；然而，多年来已有数例新生儿病例报告。本病例报告描述了一名孤立性PAVM患儿的典型表现，其诊断在新生儿期可能被漏诊。由于早期诊断和适当治疗可预防危及生命的并发症和死亡，因此对此病保持高度的临床警惕至关重要。通过计算机断层扫描肺动脉造影确诊，经皮经导管栓塞治疗使症状完全缓解。
