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Pulmonary Arteriovenous Malformations in Dyskeratosis Congenita
Authors:Bennett P Samuel MHA  BSN  RN  Ulrich A Duffner MD  Aly S Abdel‐Mageed MD  Joseph J Vettukattil MD  DNB
Institution:1. Congenital Heart Center, Helen DeVos Children's Hospital of Spectrum Health, Grand Rapids, Michigan;2. Blood and Bone Marrow Transplant, Helen DeVos Children's Hospital of Spectrum Health, Grand Rapids, Michigan
Abstract:Pulmonary arteriovenous malformations (PAVMs) are rare lesions known to cause cyanosis due to abnormal communication between the pulmonary arteries and veins. They are commonly seen in association with hereditary hemorrhagic telangiectasia, congenital heart disease, hepatopulmonary syndrome, and portopulmonary shunting, but rarely in patients with dyskeratosis congenita (DC). We describe a patient previously diagnosed with DC confirmed to have microscopic PAVMs after bone marrow transplantation and discuss possible pathogenic mechanisms.
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