title: [Percutaneous embolization of a pulmonary arteriovenous fistula in a child].
abstract: BACKGROUND
  Pulmonary arteriovenous fistula is a rare vascular abnormality in children that is usually treated by lobectomy. This report describes a case that was improved by coil embolization.
  
  
  METHODS
  A thoracic X-ray was routinely taken before amygdalectomy in a 6 year-old girl. It showed a consolidation area in the left superior lobe that persisted despite treatment with erythromycin for 3 weeks. Bronchoscopy was normal, but study of blood gases showed a refractory hypoxemia with moderate cyanosis and hemoglobin at 16.2 g/dl. Right-heart catheterization and angiography showed a pulmonary arteriovenous fistula that was treated by coil embolization. A control investigation 3 months later showed normal arterial oxygen saturation, hemoglobin at 14.5 g/dl and reduced pulmonary condensation.
  
  
  CONCLUSIONS
  Pulmonary arteriovenous fistula may show few symptoms. Coil embolization appears to be a useful initial non-aggressive treatment.
authors.affiliation: Service de cardiologie pédiatrique, Cliniques universitaires Saint-Luc, université catholique de Louvain, Bruxelles, Belgique.
authors.forename: B
authors.initials: B
authors.lastname: Callebaut
authors.forename: T
authors.initials: T
authors.lastname: Sluysmans
authors.forename: M
authors.initials: M
authors.lastname: Stijns
authors.forename: J
authors.initials: J
authors.lastname: Lintermans
authors.forename: A
authors.initials: A
authors.lastname: Vliers
mesh_terms: D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002648:Child; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011859:Radiography
vernacular_title: Embolisation percutanée d'une fistule artérioveineuse pulmonaire chez un enfant.