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A rare cause of embolic stroke in hereditary hemorrhagic telangiectasia

Nawaf Yassi1, Bernard Yan2, Richard Dowling3

  • 1Department of Medicine, Melbourne Brain Centre at Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia; Department of Neurology, Melbourne Brain Centre at Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|September 19, 2013
PubMed

A 57-year-old male patient with hereditary hemorrhagic telangiectasia presented with an acute right middle cerebral artery ischemic stroke. Investigations revealed a right middle cerebral artery M2 occlusion, hypoxemia, and a large pulmonary arteriovenous malformation and right lower limb deep venous thrombosis. Closure of the pulmonary arteriovenous malformation was successfully performed with an Amplatzer device. Catheter closure of pulmonary arteriovenous malformations in patients with hereditary hemorrhagic telangiectasia is a recognized treatment modality to prevent recurrent ischemic stroke and other embolic and hemorrhagic complications.

Keywords:
Osler–Weber–RendauStrokehereditary hemorrhagic telangiectasiapulmonary angiographypulmonary arteriovenous malformation

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