Titre
Fistule artérioveineuse pulmonaire: une cause rare de cyanose progressive et muette chez le nourrisson [Pulmonary arteriovenous fistula: a rare cause of progressive asymptomatic cyanosis in neonates].
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
Makki-Awada, D.
Auteure/Auteur
Aboussad, A.
Auteure/Auteur
Payot, M.
Auteure/Auteur
Sekarski, N.
Auteure/Auteur
Gudinchet, F.
Auteure/Auteur
von Segesser, L.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0003-9683
Statut éditorial
Publié
Date de publication
1997
Volume
90
Numéro
5
Première page
713
Dernière page/numéro d’article
717
Peer-reviewed
Oui
Langue
français
Notes
Publication types: Case Reports ; English Abstract ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
A six month old girl with no significant medical history was admitted to hospital for progressive cyanosis of recent onset refractory to oxygen therapy. There were no detectable cardiac murmurs. Chest X-ray showed an irregular left posterior parahilar infiltration. Echocardiography showed dilatation of the left atrium and ventricle but no cardiac malformation. The diagnosis of pulmonary arteriovenous fistula was suspected. Chest CT scan, magnetic resonance imaging and pulmonary angiography demonstrated the arteriovenous fistula in the lower lobe of the left lung. It was much bigger than the appearances of the chest X-ray suggested. After the left lower lobectomy, the cyanosis completely disappeared. Progressive cyanosis refractory to oxygen therapy without any apparent cardiac or pulmonary disease is strongly suggestive of pulmonary arteriovenous fistula. Surgical treatment is curative whereas the spontaneous outcome of this condition may be lethal.
PID Serval
serval:BIB_DADFE44554ED
PMID
Date de création
2008-04-08T13:38:45.127Z
Date de création dans IRIS
2025-05-21T07:02:48Z