Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-23T05:43:24.175Z Has data issue: false hasContentIssue false

Renal thromboembolism from a large pulmonary artery to a pulmonary vein fistula in an asymptomatic adolescent

Published online by Cambridge University Press:  19 September 2016

Matthew Brothers*
Affiliation:
Novant Health, Department of Pediatric Cardiology, Charlotte, North Carolina, United States of America
Benjamin Peeler
Affiliation:
Sanger Heart and Vascular Institute, Department of Pediatric Cardiology, Charlotte, North Carolina, United States of America
Joseph Paolillo
Affiliation:
Sanger Heart and Vascular Institute, Department of Pediatric Cardiology, Charlotte, North Carolina, United States of America
*
Correspondence to: M. Brothers, MD, Novant Health Heart and Vascular Institute Pediatric Cardiology, 1718 East 4th Street, Suite 605, Charlotte, North Carolina 28204, United States of America. Tel: +7 043 161 220; Fax: +7 043 161 230; E-mail: [email protected]

Abstract

Pulmonary arteriovenous fistula is a rare vascular anomaly that can cause significant morbidity and mortality. The presence and significance of symptoms are dependent on the size of the right-to-left shunt. Thromboembolic events may result in cerebrovascular accidents or systemic vascular occlusions. We present a case of an adolescent without cardiorespiratory symptoms, who developed flank pain due to renal infarction, followed by a brief literature review.

Type
Brief Report
Copyright
© Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Khurshid, I, Downie, GH. Pulmonary arteriovenous malformation. Postgrad Med J 2002; 78: 191197.CrossRefGoogle ScholarPubMed
2. Wozniak, L, Mielczarek, M, Sabiniewicz, R. Paradoxical brain embolism in a young man: is it only a patent foramen ovale? Neurol Neurochir Pol 2015; 49: 6164.CrossRefGoogle Scholar
3. Diaz, G, Marquez, A, Gentile, J. Right pulmonary artery to left atrial fistula: a description of two cases, emphasising a diagnostic approach. Cardiol Young 2012; 22: 279284.CrossRefGoogle ScholarPubMed
4. White, JRI, Lynch-Nyhan, A, Terry, P, et al. Pulmonary arteriovenous malformations: techniques and long-term outcome of embolotherapy. Radiology 1988; 169: 663669.CrossRefGoogle ScholarPubMed
5. Bartz, PJ, Cetta, F, Cabalka, AK, et al. Paradoxical emboli in children and young adults: role of atrial septal defect and patent foramen ovale device closure. Mayo Clin Proc 2006; 81: 615618.CrossRefGoogle Scholar
6. Dao, CN, Tobis, JM. PFO and paradoxical embolism producing events other than stroke. Catheter Cardiovasc Interv 2011; 77: 903909.CrossRefGoogle ScholarPubMed
7. Husain, Z, Vuppali, M, Hussain, K, et al. An isolated fistula between the right pulmonary artery and the right pulmonary vein: an unusual cause of stroke in a young female. Cardiol J 2011; 18: 7376.Google ScholarPubMed
8. Pejhan, S, Rahmanijoo, N, Farzanegan, R, Rahimi, M. Surgically treatable pulmonary arteriovenous fistula. Ann Thorac Cardiovasc Surg 2012; 18: 3638.CrossRefGoogle ScholarPubMed
9. Kumar, SM, Sivasankaran, S. Right pulmonary artery-to-left atrial fistula: a rare cause of neonatal cyanosis. Pediatr Cardiol 2013; 34: 757759.CrossRefGoogle ScholarPubMed
10. Barnet, L, Mittaine, M, Heitz, F, et al. Fermeture percutanée d’une fistule artério-veineuse pulmonaire responsable d’une hypoxémie chronique chez une enfant de 7 ans. Arch Pédiatrie 2015; 22: 7580.CrossRefGoogle Scholar
11. Ahn, KT, Choi, J-H, Park, SW. Pulmonary arteriovenous fistula in a patient with cryptogenic stroke. Heart 2011; 97: 20932093.CrossRefGoogle Scholar