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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.
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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

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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