Document Detail

Resolution of acquired pulmonary arteriovenous malformations in a patient with total anomalous systemic venous return.
MedLine Citation:
PMID:  11889537     Owner:  NLM     Status:  MEDLINE    
An 11-year-old male with total anomalous systemic venous return had surgical repair except for the hepatic venous return, which drained to the left atrium. He developed progressive cyanosis and fatigue and was diagnosed with large pulmonary arteriovenous malformations (PAVMs) during cardiac catheterization with the use of bubble contrast echocardiography. After surgical redirection of hepatic venous flow to the right heart and pulmonary arterial system, resolution of these PAVMs was demonstrated clinically and by contrast echocardiography. This unique case report demonstrates the development of PAVMs with exclusion of hepatic venous return through the pulmonary vascular bed while pulsatile pulmonary blood flow remains intact. It reinforces the likelihood of the absence of an as yet unidentified hepatic vasoactive substance as the source for development of PAVMs.
T R Johnson; M S Schamberger; J W Brown; D A Girod
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2002-02-19
Journal Detail:
Title:  Pediatric cardiology     Volume:  23     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    2002 Mar-Apr
Date Detail:
Created Date:  2002-03-12     Completed Date:  2002-04-18     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  210-2     Citation Subset:  IM    
Department of Pediatrics, Section of Pediatric Cardiology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Riley Research 104, 702 Barnhill Drive, Indianapolis, IN 46202-5225, USA.
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MeSH Terms
Arteriovenous Malformations / physiopathology,  surgery*
Hepatic Veins / surgery
Liver Circulation
Pulmonary Artery / abnormalities*
Pulmonary Circulation*
Pulmonary Veins / abnormalities*
Pulsatile Flow
Regional Blood Flow

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

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