title: An isolated fistula between the right pulmonary artery and the right pulmonary vein: an unusual cause of stroke in a young female.
abstract: We describe the case of a 29 year-old female who presented with right sided hemiparesis with global aphasia. She had a history of transient ischemic attack with migraine headaches. Diagnostic workup revealed a right to left cardiac shunt. An isolated right pulmonary artery to left pulmonary vein fistula was diagnosed on pulmonary angiogram. The fistula was occluded successfully by cardiac catheterization. Early recognition and intervention is indicated to prevent further complications.
authors.affiliation: Internal Medicine, St. Joseph Mercy Oakland, Pontiac, Michigan, USA. doczehrah@yahoo.com
authors.forename: Zehra
authors.initials: Z
authors.lastname: Husain
authors.forename: Madhavlita
authors.initials: M
authors.lastname: Vuppali
authors.forename: Khursheed
authors.initials: K
authors.lastname: Hussain
authors.forename: Mohammed N
authors.initials: MN
authors.lastname: Khan
authors.forename: Kirit
authors.initials: K
authors.lastname: Patel
authors.forename: Thomas
authors.initials: T
authors.lastname: Forbes
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Bander
authors.forename: Srinath T
authors.initials: ST
authors.lastname: Gowda
mesh_terms: D000328:Adult; D001037:Aphasia / Q000209:etiology; D001164:Arteriovenous Fistula / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006328:Cardiac Catheterization; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D008881:Migraine Disorders / Q000209:etiology; D010291:Paresis / Q000209:etiology; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011859:Radiography; D020521:Stroke / Q000209:etiology*; D016896:Treatment Outcome