[Left monoplegia revealing pulmonary arteriovenous fistual in an adolescent: occclusion with an Amplatzer occluder].
A 16 year old adolescent was admitted to hospital for investigation of a transient left monoplegia. The clinical, electric and radiological examinations were all normal. Echocardiography showed no abnormality of cardiac structures or function. Contrast echocardiography was performed and showed a right-to-left shunt suggesting a pulmonary arteriovenous fistula which was confirmed at angiography. The fistula was closed at catheterisation by a detachable balloon: in a second procedure, the balloon was deflated and contrast studies showed a recurrence of the right-to-left shunt. An Amplatzer 8/6 duct occluder was implanted with excellent results and no recurrence at 3 months.
Naanaa-Baccar
H
H
Service des maladies cardiovasculaires infantiles et congénitales, hôpital cardiologique, 59037 Lille.
Godart
F
F
Francart
C
C
Vaksmann
G
G
Breviere
G M
GM
Rey
C
C
D000293:Adolescent; D001164:Arteriovenous Fistula / Q000150:complications* / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D002404:Catheterization; D003287:Contrast Media; D004452:Echocardiography; D004562:Electrocardiography; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation; D011651:Pulmonary Artery / Q000002:abnormalities*; D012008:Recurrence
D003287:Contrast Media