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Transcatheter closure of a huge complex pulmonary arteriovenous malformation with four devices: a case report

Published online by Cambridge University Press:  03 March 2025

Utku Pamuk*
Affiliation:
Ankara Bilkent City Hospital, Department Of Pediatric Cardiology, Ankara, Turkiye
Harun Terin
Affiliation:
Ankara Bilkent City Hospital, Department Of Pediatric Cardiology, Ankara, Turkiye
Hazim Alper Gursu
Affiliation:
University Of Health Sciences, Department Of Pediatric Cardiology, Ankara, Turkiye
*
Corresponding author: U. Pamuk; Email: [email protected]

Abstract

Pulmonary arteriovenous malformations are abnormal vascular connections between pulmonary arteries and veins, often causing right-to-left shunting. In this report, a 4-year-old boy with low oxygen saturation was diagnosed with a large, complex pulmonary arteriovenous malformation involving four feeding arteries. Percutaneous transcatheter closure was performed using four devices to occlude the major feeding arteries, resulting in increased arterial oxygen saturation from 72 to 98%. This report depicts the successful use of multiple devices for percutaneous closure of a complex pulmonary arteriovenous malformation in a child and highlights the minimally invasive and effective nature of this approach.

Type
Brief Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

Majumdar, S, McWilliams, JP. Approach to pulmonary arteriovenous malformations: a comprehensive update. J Clin Med 2020; 9: 1927.CrossRefGoogle ScholarPubMed
Saboo, SS, et al. Pulmonary arteriovenous malformations: diagnosis. Cardiovasc Diagn Ther 2018; 8: 325337.CrossRefGoogle ScholarPubMed
White, RI Jr, Pollak, JS, Wirth, JA. Pulmonary arteriovenous malformations: diagnosis and transcatheter embolotherapy. J Vasc Interv Radiol 1996; 7: 787804.CrossRefGoogle ScholarPubMed
Nagano, M, et al. Surgery versus percutaneous transcatheter embolization for pulmonary arteriovenous malformation: analysis of a national inpatient database in Japan. J Thorac Cardiovasc Surg 2017; 154 : 11371143.CrossRefGoogle ScholarPubMed
Gossage, JR, Kanj, G. Pulmonary arteriovenous malformations: a state of the art review. Am J Respir Crit Care Med 1998; 158 : 643661.CrossRefGoogle ScholarPubMed
Guttmacher, AE, Marchuk, DA, White, RI Jr. Hereditary hemorrhagic telangiectasia.. N Engl J Med 1995; 333 : 918924.CrossRefGoogle ScholarPubMed
Swanson, KL, Prakash, UB, Stanson, AW. Pulmonary arteriovenous fistulas: mayo clinic experience, 1982-1997. Mayo Clin Proc 1999; 74 : 265276.CrossRefGoogle Scholar
Fuchizaki, U, et al. Hereditary haemorrhagic telangiectasia (Rendu-osler-weber disease). Lancet 2003; 362 : 14901494.CrossRefGoogle ScholarPubMed
White, RI Jr, et al. Angioarchitecture of pulmonary arteriovenous malformations: An important consideration before embolotherapy. Am J Roentgenol 1983; 140 : 681686.CrossRefGoogle ScholarPubMed
Almakadma, AH, et al. Retrograde transseptal pulmonary vein transcatheter plug closure for pulmonary arteriovenous malformation. Case Rep 2022; 4 : 150153.Google ScholarPubMed
Sulaiman, S, Vinayakumar, D, Bastian, C. Percutaneous closure of a giant pulmonary arteriovenous malformation using multiple devices. J Cardiol Cases 2017; 16: 6265.CrossRefGoogle ScholarPubMed
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