E-ISSN 1858-8360 | ISSN 0256-4408
 

Case Report 


Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed

Mohammed Hassan Abdelrhman Mohammed, Abdah Hrfi, Abdullah M AlQwee, Omar Tamimi.

Abstract
Pulmonary arteriovenous malformations (AVM) are congenital defects in a form of an anomalous bridging between a pulmonary arterial and venous system that sidesteps the normal pulmonary capillary. This anomaly is usually associated with hereditary hemorrhagic telangiectasia (HHT), left over small group are sporadic cases, but may occur as an isolated anomaly or as multiple lesions. Rarely, such abnormalities can be acquired. Few cases are diagnosed in the neonatal period, as it will pass silent without symptoms. Clinical manifestations occur soon after birth as cyanosis, tachypnea, and an abnormal sound as bruit over the AVM; and the most important point is the clinical suspicion of diagnosis in absence of pulmonary parenchymal and cardiac disease that can explain the persistence of cyanosis. We report a successful Amplatzer vascular plug occlusion of isolated multiple left side pulmonary AVM in a neonate, which was done on two stages with a 6 months interval, with no complications. Over two-year follow up the patient remained well with no symptoms.Pulmonary arteriovenous malformations (PAVM) are congenital defects in a form of an anomalous bridging between a pulmonary arterial and venous system that sidesteps the normal pulmonary capillary, this anomaly usually associated with hereditary hemorrhagic telangiectasia (HHT), left over small group are sporadic cases, but may occur as an isolated anomaly or as multiple lesions. Rarely, such abnormalities can be acquired. Few cases are diagnosed in neonatal period as it will pass silent without symptoms. Clinical manifestations soon after birth in a form of cyanosis, tachypnea, and an abnormal sound as bruit over the AVM, and the most important point is the clinical suspicion of diagnosis in absence of pulmonary parenchymal and cardiac disease that can explain the persistence of cyanosis.
We report a successful Amplatzer vascular plug occlusion of isolated multiple left side PAVM in a neonate, which was done on two stages with 6 months interval, with no complication and during two years follow up, patient is doing fine with no symptoms.

Key words: Pulmonary arteriovenous malformation; Transcatheter; Amplatzer; Newborn


 
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How to Cite this Article
Pubmed Style

Mohammed MHA, Hrfi A, AlQwee AM, Tamimi O. Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed. Sudan J Paed. 2018; 18(2): 56-60. doi:10.24911/SJP.106-1528143670


Web Style

Mohammed MHA, Hrfi A, AlQwee AM, Tamimi O. Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed. http://www.sudanjp.com/?mno=301118 [Access: January 17, 2019]. doi:10.24911/SJP.106-1528143670


AMA (American Medical Association) Style

Mohammed MHA, Hrfi A, AlQwee AM, Tamimi O. Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed. Sudan J Paed. 2018; 18(2): 56-60. doi:10.24911/SJP.106-1528143670



Vancouver/ICMJE Style

Mohammed MHA, Hrfi A, AlQwee AM, Tamimi O. Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed. Sudan J Paed. (2018), [cited January 17, 2019]; 18(2): 56-60. doi:10.24911/SJP.106-1528143670



Harvard Style

Mohammed, M. H. A., Hrfi, . A., AlQwee, . A. M. & Tamimi, . O. (2018) Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed. Sudan J Paed, 18 (2), 56-60. doi:10.24911/SJP.106-1528143670



Turabian Style

Mohammed, Mohammed Hassan Abdelrhman, Abdah Hrfi, Abdullah M AlQwee, and Omar Tamimi. 2018. Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed. Sudanese Journal of Paediatrics, 18 (2), 56-60. doi:10.24911/SJP.106-1528143670



Chicago Style

Mohammed, Mohammed Hassan Abdelrhman, Abdah Hrfi, Abdullah M AlQwee, and Omar Tamimi. "Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed." Sudanese Journal of Paediatrics 18 (2018), 56-60. doi:10.24911/SJP.106-1528143670



MLA (The Modern Language Association) Style

Mohammed, Mohammed Hassan Abdelrhman, Abdah Hrfi, Abdullah M AlQwee, and Omar Tamimi. "Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed." Sudanese Journal of Paediatrics 18.2 (2018), 56-60. Print. doi:10.24911/SJP.106-1528143670



APA (American Psychological Association) Style

Mohammed, M. H. A., Hrfi, . A., AlQwee, . A. M. & Tamimi, . O. (2018) Pulmonary arteriovenous malformation in a neonate: a condition commonly misdiagnosed. Sudanese Journal of Paediatrics, 18 (2), 56-60. doi:10.24911/SJP.106-1528143670





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