title: Renal thromboembolism from a large pulmonary artery to a pulmonary vein fistula in an asymptomatic adolescent.
abstract: Pulmonary arteriovenous fistula is a rare vascular anomaly that can cause significant morbidity and mortality. The presence and significance of symptoms are dependent on the size of the right-to-left shunt. Thromboembolic events may result in cerebrovascular accidents or systemic vascular occlusions. We present a case of an adolescent without cardiorespiratory symptoms, who developed flank pain due to renal infarction, followed by a brief literature review.
authors.affiliation: 1Novant Health, Department of Pediatric Cardiology,Charlotte,North Carolina,United States of America.
authors.forename: Matthew
authors.initials: M
authors.lastname: Brothers
authors.affiliation: 2Sanger Heart and Vascular Institute, Department of Pediatric Cardiology,Charlotte,North Carolina,United States of America.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Peeler
authors.affiliation: 2Sanger Heart and Vascular Institute, Department of Pediatric Cardiology,Charlotte,North Carolina,United States of America.
authors.forename: Joseph
authors.initials: J
authors.lastname: Paolillo
mesh_terms: D000293:Adolescent; D000792:Angiography; D001164:Arteriovenous Fistula / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007668:Kidney / Q000098:blood supply*; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D011667:Pulmonary Veins / Q000002:abnormalities*; D012077:Renal Artery; D013923:Thromboembolism / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed
keywords: CHD; arteriovenous fistula; thromboembolism