Diagnosing pulmonary arteriovenous malformations in the presence of atrial septal defect and anomalous pulmonary venous drainage-An imaging challenge.


Journal

Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Titre abrégé: Echocardiography
Pays: United States
ID NLM: 8511187

Informations de publication

Date de publication:
09 2020
Historique:
received: 12 06 2020
revised: 20 07 2020
accepted: 21 07 2020
pubmed: 7 8 2020
medline: 24 6 2021
entrez: 7 8 2020
Statut: ppublish

Résumé

Saline contrast echocardiography is a simple and effective method to diagnose the presence and type of right-to-left shunt in patients with unexplained cyanosis. It is considered a very sensitive test to diagnose pulmonary arteriovenous malformations. Our patient presented with unexplained cyanosis and transthoracic echocardiography showed an atrial septal defect and anomalous pulmonary venous drainage of the right and left upper pulmonary veins to the superior venacava. We describe how we used saline contrast echocardiography to demonstrate the presence of pulmonary arteriovenous malformations even in the presence of atrial septal defect and anomalous pulmonary venous drainage.

Identifiants

pubmed: 32757403
doi: 10.1111/echo.14817
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1492-1494

Informations de copyright

© 2020 Wiley Periodicals LLC.

Références

Gupta SK, Shetkar SS, Ramakrishnan S, Kothari SS. Saline contrast echocardiography in the era of multimodality imaging-importance of “bubbling it right”. Echocardiography. 2015;32:1707-1719.
Soliman OII, Geleijnse ML, Meijboom FJ, et al. The use of contrast echocardiography for the detection of cardiac shunts. Eur J Echocardiography. 2007;8:S2-S12.
Tighe DA, Aurigemma GP. Right-to-left shunts and saline contrast echocardiography. Chest. 2010;138(2):246-248.
Van Gent MWF, Post MC, Luermans JGLM, et al. Screening for pulmonary arteriovenous malformations using transthoracic contrast echocardiography: a prospective study. Eur Respir J. 2009;33:85-91.

Auteurs

Deepa Sasikumar (D)

Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

Anoop Ayyappan (A)

Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

Jineesh Valakkada (J)

Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

Kavasseri Mahadevan Krishnamoorthy (KM)

Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

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Classifications MeSH