Pulmonary arteriovenous fistula discovered after percutaneous patent foramen ovale closure in a 27-year-old woman.
We report the case of a 27-year-old woman with history of a transient ischemic attack who was diagnosed with a large patent foramen ovale (PFO). After percutaneous PFO closure, it was discovered that the patient had a pulmonary arteriovenous malformation (PAVM) and a diagnosis of hereditary hemorrhagic telangiectasia was made. The PAVM was later coil embolized. This case illustrates the importance of evaluating PFO closure patients for other causes of right-to-left shunting.
Schussler
Jeffrey M
JM
Baylor University Medical Center, Department of Cardiology, Dallas, TX, USA. Jeffresc@baylorhealth.edu
Phillips
Sabrina D
SD
Anwar
Azam
A
D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods*; D004864:Equipment and Supplies; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*; D011667:Pulmonary Veins / Q000000981:diagnostic imaging*; D011859:Radiography; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications* / Q000175:diagnosis