Document Detail


Pulmonary arteriovenous malformation masquerading as massive pulmonary thromboembolus.
MedLine Citation:
PMID:  15648993     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of a 78-year-old male with hereditary haemorrhagic telangiectasia and severe hypoxia incorrectly diagnosed as pulmonary embolism following a false positive ventilation/perfusion scan. Anti-coagulation and thrombolysis was complicated by an upper gastro-intestinal haemorrhage. Pulmonary arteriovenous malformations resulted in a clinically significant right-left shunt and created an apparent perfusion defect evident upon radionuclide imaging, leading to diagnostic uncertainty and a potentially dangerous treatment modality.
Authors:
C McGrath
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  32     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-01-14     Completed Date:  2005-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  812-7     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia and Intensive Care, The Northern Hospital, Melbourne, Victoria.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography / methods
Arteriovenous Malformations / diagnosis*,  therapy
Blood Gas Analysis
Diagnosis, Differential
Follow-Up Studies
Humans
Male
Pulmonary Artery / abnormalities*
Pulmonary Embolism / diagnosis*,  therapy
Pulmonary Veins / abnormalities*
Risk Assessment
Severity of Illness Index
Telangiectasia, Hereditary Hemorrhagic / diagnosis*,  therapy
Tomography, X-Ray Computed
Ventilation-Perfusion Ratio

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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