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Pulmonary arteriovenous malformation treated with embolotherapy
S Saxena1, Dipti Gothi, J M Joshi
1Department of Respiratory Diseases, BYL Nair Charitable Hospital and TN Medical College, Mumbai Central, Mumbai-400 008.
Summary
Pulmonary arteriovenous malformations (PAVM) are congenital vascular anomalies. This case highlights successful embolotherapy treatment for PAVM presenting with dyspnea and cyanosis.
Area of Science:
- Cardiology
- Radiology
- Vascular Surgery
Background:
- Pulmonary arteriovenous malformations (PAVM) are abnormal connections between pulmonary arteries and veins.
- PAVM are typically congenital and can lead to significant cardiopulmonary complications.
Observation:
- A patient presented with exertional dyspnea and cyanosis.
- Clinical examination detected a bruit in the left infrascapular region, suggesting PAVM.
Findings:
- Computed tomography (CT) thorax with 3D virtual reconstruction technology (3D VRT) and pulmonary angiography confirmed the diagnosis.
- Successful treatment was achieved via embolotherapy using steel coils, excluding 90% of the aneurysm.
Implications:
- Embolotherapy is an effective treatment for symptomatic PAVM.
- Early diagnosis and intervention can prevent severe complications associated with PAVM.