How should I treat pulmonary arteriovenous malformations in a patient with Rendu-Osler disease presenting with transient ischaemic attack

EuroIntervention. 2011 Nov;7(7):880-5. doi: 10.4244/EIJV7I7A137.

Abstract

Background: A 42-year-old man with no cardiovascular risk factors or history was admitted for evaluation of an episode of transient ischaemic attack (TIA). He had no cardiovascular risk factors and his physical examination was unremarkable.

Investigation: Physical examination, electrography, transesophageal echocardiogram, coronary angiogram.

Diagnosis: Intrapulmonary shunting, in the presence of arteriovenous malformations, possible hereditary haemorrhagic telangectasia.

Treatment: Transcatheter occlusion of multiple pulmonary arteriovenous malformations using an AMPLATZER vascular plug.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Arteriovenous Malformations / complications
  • Arteriovenous Malformations / diagnosis
  • Arteriovenous Malformations / therapy*
  • Coronary Angiography
  • Echocardiography, Transesophageal
  • Electrocardiography
  • Embolization, Therapeutic* / instrumentation
  • Equipment Design
  • Humans
  • Ischemic Attack, Transient / diagnosis
  • Ischemic Attack, Transient / etiology
  • Ischemic Attack, Transient / prevention & control*
  • Male
  • Pulmonary Artery / abnormalities*
  • Pulmonary Veins / abnormalities*
  • Telangiectasia, Hereditary Hemorrhagic / complications*
  • Telangiectasia, Hereditary Hemorrhagic / diagnosis
  • Tomography, X-Ray Computed
  • Treatment Outcome