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Transcatheter management of life-threatening pulmonary arteriovenous fistula with extracorporeal membrane oxygenation support in an infant
Cardiology in the Young ( IF 0.9 ) Pub Date : 2022-09-01 , DOI: 10.1017/s1047951122002724
Osman Guvenc 1 , Ender Odemis 2 , Murat Saygi 1 , M Akif Onalan 3
Affiliation  

Pulmonary arteriovenous malformation is a rare disease leading to cyanosis, where there is a direct relation between the pulmonary artery and pulmonary vein without a capillary structure. Arteriovenous fistulae may be single or multiple. Clinical signs emerge depending on the size of the fistulae and amount of shunt. Due to the advancements in transcatheter devices and increased experience render enable the fistula embolisation procedure as an alternative to surgical treatment. Extracorporeal membrane oxygenation is used to support the patient haemodynamically and respirationally in cases of treatment-resistant, severe and revocable cardiac or pulmonary sufficiency. This paper presents an infant patient with pulmonary arteriovenous malformation, who had haemodynamic instability due to severe hypoxia and received successful transcatheter fistula embolisation via extracorporeal membrane oxygenation under emergency conditions.



中文翻译:

婴儿体外膜氧合支持下危及生命的肺动静脉瘘的经导管治疗

肺动静脉畸形是一种罕见的导致发绀的疾病,肺动脉和肺静脉之间没有毛细血管结构直接相关。动静脉瘘可为单个或多个。临床症状的出现取决于瘘管的大小和分流量。由于经导管装置的进步和经验的增加,使得瘘管栓塞手术成为手术治疗的替代方案。在难治性、严重和可恢复的心脏或肺功能不全的情况下,体外膜氧合用于在血液动力学和呼吸方面支持患者。本文介绍了一名患有肺动静脉畸形的婴儿患者,

更新日期:2022-09-01
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