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Transcatheter closure of a huge complex pulmonary arteriovenous malformation with four devices: a case report
Utku Pamuk1, Harun Terin1, Hazim Alper Gursu2
1Ankara Bilkent City Hospital, Department Of Pediatric Cardiology, Ankara, Turkiye.
Insights
A complex pulmonary arteriovenous malformation in a child was successfully treated using a minimally invasive procedure. This transcatheter closure significantly improved the patient's oxygen saturation, demonstrating an effective treatment option.
Area of Science:
- Cardiovascular Medicine
- Pediatric Interventional Radiology
Background:
- Pulmonary arteriovenous malformations (PAVMs) are abnormal vascular connections in the lungs.
- These malformations can lead to right-to-left shunting and hypoxemia.
Purpose of the Study:
- To report the successful percutaneous transcatheter closure of a large, complex PAVM in a pediatric patient.
- To highlight the efficacy and minimally invasive nature of this interventional approach.
Main Methods:
- Diagnosis of a complex PAVM in a 4-year-old boy with low oxygen saturation.
- Percutaneous transcatheter closure utilizing four closure devices to occlude major feeding arteries.
Main Results:
- Successful occlusion of the complex pulmonary arteriovenous malformation.
- Significant increase in arterial oxygen saturation from 72% to 98% post-procedure.
Conclusions:
- Percutaneous transcatheter closure with multiple devices is a safe and effective treatment for complex pediatric PAVMs.
- This minimally invasive technique offers a viable alternative to surgical intervention for PAVMs.
Abstract:
Pulmonary arteriovenous malformations are abnormal vascular connections between pulmonary arteries and veins, often causing right-to-left shunting. In this report, a 4-year-old boy with low oxygen saturation was diagnosed with a large, complex pulmonary arteriovenous malformation involving four feeding arteries. Percutaneous transcatheter closure was performed using four devices to occlude the major feeding arteries, resulting in increased arterial oxygen saturation from 72 to 98%. This report depicts the successful use of multiple devices for percutaneous closure of a complex pulmonary arteriovenous malformation in a child and highlights the minimally invasive and effective nature of this approach.
