[Therapeutic Embolization of a Pulmonary Arteriovenous-fistula in a Child]
(1994) Archives de pédiatrie — Vol. 1, n° 1, p. 46-48 (1994)
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- Abstract
- Background. - Pulmonary arteriovenous fistula is a rare vascular abnormality in children that is usually treated by lobectomy. This report describes a case that was improved by coil embolization. Case report. - A thoracic X-ray was routinely taken before anygdalectomy in a 6 year-old girl. It showed a consolidation area in the left superior lobe that persisted despite treatment with erythromycin for 3 weeks. Bronchoscopy was normal, but study of blood gases showed a refractory hypoxemia cyanosis and hemoglobin at 16/2 g/dl. Right-heat catheterization and angiography showed a pulmonary arteriovenous fistula that was treated by coil embolization. A control investigation 3 months later showed normal arterial oxygen saturation, hemoglobin at 14.5 g/dl and reduced pulmonary condensation. Conclusion. - Pulmonary arteriovenous fistula may show few symptoms. Coil embolization appears to be a useful initial non-aggressive treatment.
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Callebaut, B., Sluysmans, T., Stijns, M., Lintermans, J., & Vliers, A. (1994). [Therapeutic Embolization of a Pulmonary Arteriovenous-fistula in a Child]. Archives de pédiatrie, 1(1), 46-48. https://hdl.handle.net/2078.5/85959 (Original work published 1994)