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Transcatheter management of life-threatening pulmonary arteriovenous fistula with extracorporeal membrane oxygenation support in an infant

Published online by Cambridge University Press:  01 September 2022

Osman Guvenc Open the ORCID record for Osman Guvenc [Opens in a new window] ,
Ender Odemis ,
Murat Saygi  and
M. Akif Onalan
Osman Guvenc*
Affiliation:
Department of Pediatric Cardiology, Medical Faculty, Acıbadem University, Istanbul, Turkey
Ender Odemis
Affiliation:
Department of Pediatric Cardiology, Medical Faculty, Koc University, Istanbul, Turkey
Murat Saygi
Affiliation:
Department of Pediatric Cardiology, Medical Faculty, Acıbadem University, Istanbul, Turkey
M. Akif Onalan
Affiliation:
Department of Cardiovascular Surgery, Medical Faculty, Acıbadem University, Istanbul, Turkey
*
Author for correspondence: Osman Güvenç, M.D., Merkez Halkalı Mahallesi, Turgut Özal Bulvarı, No: 16, Küçükçekmece İstanbul. Tel: 0505 5013646/90 0212 4044444-4286. E-mail: osmanguvenc1977@gmail.com
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Abstract

Pulmonary arteriovenous malformation is a rare disease leading to cyanosis, where there is a direct relation between the pulmonary artery and pulmonary vein without a capillary structure. Arteriovenous fistulae may be single or multiple. Clinical signs emerge depending on the size of the fistulae and amount of shunt. Due to the advancements in transcatheter devices and increased experience render enable the fistula embolisation procedure as an alternative to surgical treatment. Extracorporeal membrane oxygenation is used to support the patient haemodynamically and respirationally in cases of treatment-resistant, severe and revocable cardiac or pulmonary sufficiency. This paper presents an infant patient with pulmonary arteriovenous malformation, who had haemodynamic instability due to severe hypoxia and received successful transcatheter fistula embolisation via extracorporeal membrane oxygenation under emergency conditions.

Keywords

Pulmonary arteriovenous fistulatranscatheter closureextracorporeal membrane oxygenationinfant
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 3 , March 2023 , pp. 498 - 501
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

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