Hostname: page-component-7479d7b7d-m9pkr Total loading time: 0 Render date: 2024-07-13T23:40:59.448Z Has data issue: false hasContentIssue false
  • English
  • Français

Pitfalls in the diagnosis of pulmonary arteriovenous malformations

Published online by Cambridge University Press:  19 August 2008

Michael Schiemmer ,
Gerald Tulzer  and
Maria Wimmer
Michael Schiemmer*
Affiliation:
From the Department of Pediatric Cardiology, University of Vienna, Vienna, the Department of Pediatric Cardiology, Children' Hospital, Linz
Gerald Tulzer
Affiliation:
From the Department of Pediatric Cardiology, University of Vienna, Vienna, the Department of Pediatric Cardiology, Children' Hospital, Linz
Maria Wimmer
Affiliation:
From the Department of Pediatric Cardiology, University of Vienna, Vienna, the Department of Pediatric Cardiology, Children' Hospital, Linz
*
Univ.-Doz. Dr. Michael Schiemmer, Universitäats-Kinderklinik Wien, Abteilung für Kinderkardiologie, Währinger Gurtel 18–20, A-1090 Vienna, Austria. Tel. 00431 40400-3199; Fax. 00431 40400-3238.
Get access Rights & Permissions [Opens in a new window]

Summary

A homogeneous opacity of the right upper lobe was found radiographically in a 15-month-old male child during investigation of an upper respiratory tract infection. Based on computerized tomography, the diagnosis was made of a solid tumor of the lung. At thoracotomy, dilated serpentine vessels were found on the surface of the right upper lobe, and the diagnosis of a large arteriovenous malformation was considered. Use of enhanced computed tomography without contrast and failure to note a reduced arterial oxygen saturation were two diagnostic pitfalls. The diagnosis of an arteriovenous malformation was confirmed by pulmonary angiography, and a right upper lobectomy was successfully performed.

Keywords

Pulmonary arteriovenous malformationschildhooddiagnosis
Type
Brief Reports
Information
Cardiology in the Young , Volume 4 , Issue 4 , October 1994 , pp. 408 - 410
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Garcia, JM, Lock, JE. Catheter embolization of pulmonaiy arteriovenous fistulas in an infant. Pediatr Cardiol 1992; 13:41–43.CrossRefGoogle Scholar
2.White, RI, Mitchell, SE, Barth, KH, Kaufman, SL, Kadir, S, Chang, R, Terry, PB. Angioarchitecture of pulmonary arterio venous malformations: An important consideration before embolotherapy. Am J Radiol 1983; 140: 681–686.Google Scholar
3.Churton, T. Multiple aneurysms of pulmonary artery. Br Med J 1897; 1: 1223.Google Scholar
4.Smith, ML, Horton, BT. Arteriovenous fistula of the lung associated with polycythaemia: report of the case in which diagnosis was made clinically. Am Heart J 1939; 18: 589–592.CrossRefGoogle Scholar
5.Higgins, GB, Wexler, L. Clinical and angiographic features of pulmonary arteriovenous fistulas in children. Radiology 1976; 119: 171–175.CrossRefGoogle ScholarPubMed
6.Anderson, RH, Macartney, FJ, Shinebourne, EA, Tynan, M, Bush, A. Pulmonary arteriovenous malformations. In: Anderson, RH, Macartney, FJ, Shinebourne, EA, Tynan, M (eds). Paediatric Cardiology. Volume 2. Churchill Livingston, London, 1987, pp 1013–1019.Google Scholar
7.Gula, G, Nakvi, A, Radley-Smith, R, Yacoub, M. The spectrum of pulmonary arterio-venous fistula. Glinicopathological correlations. Thorac Cardiovasc Surgeon 1981; 29: 51–54.CrossRefGoogle ScholarPubMed
8.White, RI. Pulmonary arteriovenous malformations: How do we diagnose them and why is it important to do so? Radiology 1992; 182: 633–635.CrossRefGoogle Scholar
9.Barzilai, B, Waggoner, AD, Spessert, Ch, Picus, D, Goodenberger, D. Two-dimensional contrast echocardiography in the detection and follow-up of congenital pulmonary arteriovenous malformations. Am J Gardiol 1991; 68: 1507–1510.CrossRefGoogle ScholarPubMed
10.Triller, J, Würsten, HU, Hof, Im V, Mouton, W. Katheter embolisation des solitären pulmonal arteriovenösen Aneurys mas (PAVA). Fortschr Röntgenstr 1992; 156: 545–548.CrossRefGoogle Scholar