A small pulmonary arteriovenous malformation as a cause of recurrent brain embolism.
We report a case of recurrent paradoxical brain embolism mediated through a small pulmonary arteriovenous malformation (PAVM) with a 1.8-mm-diameter feeding artery. In this case, the further recurrent stroke was prevented successfully by PAVM embolization. Although embolization therapy is currently recommended only for PAVMs with feeding arteries greater than 3 mm in diameter, the therapy may be needed also in the smaller PAVMs.
Todo
Kenichi
K
Department of Cerebrovascular Medicine, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
Moriwaki
Hiroshi
H
Higashi
Masahiro
M
Kimura
Kohji
K
Naritomi
Hiroaki
H
D000368:Aged; D000792:Angiography; D001165:Arteriovenous Malformations / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D002526:Cerebellar Diseases / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D019320:Embolism, Paradoxical / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000209:etiology*; D008168:Lung / Q000098:blood supply*; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging; D012008:Recurrence