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Pulmonary arteriovenous malformations
Authors:Milind S Tullu  Murlidhar D Mahajan  Captain S Ramchandani  Chandrahas T Deshmukh  Jaishree R Kamat  Rajwanti K Vaswani  Prem K Pahuja  Venkatesh Rangarajan
Institution:(1) Department of Pediatrics, Seth G.S. Medical College and KEM Hospital, Sankalp Siddhi’, Block No. 1, Ground floor, Kher Nagar, Bandra (East), 400 012 Mumbai, Maharashtra, India;(2) Radiation Medicine Centre (BARC), Tata Memorial Hospital, Parel, 400 012 Mumbai, Maharashtra, India
Abstract:Pulmonary arteriovenous malformations rarely present in childhood. Two cases are presented in this report. Both the cases presented clinically with cyanosis and clubbing without a cardiac murmur. The second case had cerebral abscess in addition. Both the cases underwent a contrast-enhanced echocardiography which suggested the presence of pulmonary arteriovenous malformations. The first case also underwent99mTc radionuclide scan and pulmonary angiography. The cases are being reported for their characteristic clinical features and for emphasizing the role of non-invasive modalities like contrast-enhanced echocardiography and radionuclide scan in reaching the diagnosis.
Keywords:Pulmonary arteriovenous fistula  Cyanosis  Cerebral abscess  Echocardiography  Embolization
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