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Pulmonary Arteriovenous Malformation in a Woman with Chronic Obstructive Pulmonary Disease and Recurrent Stroke: A Case Report

摘要


Pulmonary arteriovenous malformation (PAVM) is a rare cardiovascular anomaly that can cause serious complications, such as stroke and cerebral abscess. We present the case of a 55-year-old woman with old stroke, who presented with dyspnea and severe hypoxia refractory to high-concentration oxygen therapy. A large mass-like opacity in the right lower lung field was noted on the chest radiograph. Diagnosis of PAVM was considered based on the clinical and radiological findings. Spiral computed tomography pulmonary angiogram showed 2 arteriovenous malformations with right-to-left shunts, a large one in the right lower lobe and a smaller one in the left lingula. After successful embolization, her hypoxemia was corrected and there were no embolic stroke episodes thereafter.

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