Recurrent "transient ischemic attacks" caused by pulmonary arteriovenous malformation

被引:0
作者
Welling, Jorrit B. A. [1 ,2 ,3 ]
Schuurmans, Mascha [4 ]
Koster, T. David [1 ,2 ,3 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Pulm Dis, Groningen, Netherlands
[2] Univ Groningen, Univ Med Ctr Groningen, Groningen Res Inst Asthma, Groningen, Netherlands
[3] Univ Groningen, Univ Med Ctr Groningen, COPD, Groningen, Netherlands
[4] Med Ctr Leeuwarden, Dept Neurol, Leeuwarden, Netherlands
关键词
Arteriovenous malformation; Transient ischemic attack; FOLLOW-UP; STROKE; EMBOLIZATION; MANAGEMENT;
D O I
10.1016/j.rmcr.2025.102172
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Pulmonary arteriovenous malformations (PAVMs) are abnormal, direct connections between a pulmonary artery and pulmonary vein that can lead to severe neurologic complications including ischemic stroke. This case report describes a 39-year-old woman who presented with recurrent transient ischemic attacks (TIAs). Extensive clinical evaluation revealed PAVM as the underlying cause. Following successful embolization of the PAVM, the patient did not experience further TIAs. This case highlights the importance of considering PAVMs in the differential diagnosis of recurrent TIAs, particularly in patients without traditional risk factors for cerebrovascular events.
引用
收藏
页数:4
相关论文
共 23 条
  • [1] Easton J.D., Saver J.L., Albers G.W., Alberts M.J., Chaturvedi S., Feldmann E., Et al., Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American heart association/American stroke association stroke council
  • [2] council on cardiovascular surgery and anesthesia
  • [3] council on cardiovascular radiology and intervention
  • [4] council on cardiovascular nursing
  • [5] and the interdisciplinary council on peripheral vascular disease, Stroke, 40, pp. 2276-2293, (2009)
  • [6] Petty G.W., Brown R.D., Whisnant J.P., Sicks J.D., Michael O., fallon W., Wiebers D.O., Ischemic Stroke Subtypes A Population-Based Study of Incidence and Risk Factors, (1999)
  • [7] Hessels J., Kroon S., Vorselaars V.V.M., Boerman S., Mager J.J., Post M.C., Evolution of pulmonary arteriovenous malformations: the role of contrast echocardiography, Chest, 163, 3, pp. 669-677, (2023)
  • [8] Shovlin C.L., Gibbs J.S.R., Jackson J.E., Management of pulmonary arteriovenous malformations in pulmonary hypertensive patients: a pressure to embolise?, Eur. Respir. Rev., 18, pp. 4-6, (2009)
  • [9] Shovlin C.L., Guttmacher A.E., Buscarini E., Faughnan M.E., Hyland R.H., Westermann C.J.J., Et al., Diagnostic criteria for hereditary hemorrhagic telangiectasia (rendu- osler-weber syndrome), Am. J. Med. Genet., 91, 1, pp. 66-67, (2000)
  • [10] McDonald J., Bayrak-Toydemir P., DeMille D., Wooderchak-Donahue W., Whitehead K., Curaçao diagnostic criteria for hereditary hemorrhagic telangiectasia is highly predictive of a pathogenic variant in ENG or ACVRL1 (HHT1 and HHT2), Genet. Med., 22, 7, pp. 1201-1205, (2020)