Diagnosis and therapeutics of pulmonary arteriovenous fistula in childhood. Case report and review of the literature.
We report the case of a 3-year-old female patient, who, since birth, had cyanosis difficult to explain with usual diagnostic tests. The only findings on physical examination were cyanosis and clubbing of her fingers. Chest computerized tomography showed images of excessive attenuation in the right lung, which resembled arteriovenous fistulae that were later confirmed on cardiac catheterization. The fistulous trajectories were then embolized with 7 Gianturco coils, which resulted in an immediate increase in the arterial saturation of blood oxygen.
Gianisella
R B
RB
Instituto de Cardiologia do Rio Grande do Sul, Fundação Universitária de Cardiologia, Sao Paulo, Brazil. pesquisa@cardnet.tche.br
Rossi Filho
R I
RI
Zielinsky
P
P
D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000628:therapy; D002675:Child, Preschool; D003490:Cyanosis / Q000209:etiology; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities*; D011667:Pulmonary Veins / Q000002:abnormalities*