Pulmonary Arteriovenous Malformation as a Cause of Embolic Stroke: Case Report and Review of the Literature

Publisher: Karger

E-ISSN: 1664-5545|3|1|27-30

ISSN: 1664-9737

Source: Interventional Neurology, Vol.3, Iss.1, 2014-11, pp. : 27-30

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Abstract

Background: Pulmonary arteriovenous malformation (PAVM) is an abnormal communication between pulmonary arteries and veins responsible for right-to-left shunting that could induce the development of embolic stroke. Summary: We describe an 82-year-old woman without history of respiratory or neurological diseases, who presented at our observation unit with acute onset of cerebral ischemia. Clinical, laboratory and radiological findings diagnosed a PAVM. Key Messages: Usually, endovascular procedures based on embolization or, alternatively, surgery represent the recommended treatment. However, both hormonal therapy and thrombolytic therapy can be used. In our patient, treatment with warfarin induced a remission of symptoms. This strategy should be tested in larger studies. i 2014 S. Karger AG, Basel