Complex Pulmonary Arteriovenous Fistula Presented With Ventricular Tachycardia and Type 2 Acute Myocardial Infarction

Pulmonary arteriovenous fistula (PAVF) is a rare congenital vascular malformation primarily manifested as dyspnea, migraine, ischemic stroke, hemoptysis, and nervous system complications. However, in our case, an 18-year-old male patient with PAVF presented with sudden onset of ventricular tachycard...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-05, Vol.16 (5), p.e61347
Main Authors: Ma, Ming Ren, Shi, Liang, Wang, Fei, Cai, Xiaoqing, Ma, Ling
Format: Article
Language:English
Subjects:
Blood vessels
Cardiac arrhythmia
Cardiovascular disease
Cardioversion
Ejection fraction
Electrocardiography
Emergency medical care
Fistula
Heart attacks
Hemoglobin
Hypoxia
Laboratories
Medical imaging
Ostomy
Oxygen saturation
Pneumothorax
Pulmonary arteries
Pulmonary hypertension
Tomography
Ultrasonic imaging
Veins & arteries
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Description
Summary:Pulmonary arteriovenous fistula (PAVF) is a rare congenital vascular malformation primarily manifested as dyspnea, migraine, ischemic stroke, hemoptysis, and nervous system complications. However, in our case, an 18-year-old male patient with PAVF presented with sudden onset of ventricular tachycardia and type 2 acute myocardial infarction as initial symptoms. A diagnosis was achieved through pulmonary artery computer tomography angiography (CTA) and three-dimensional (3D) computed tomography (CT) reconstruction, revealing a complex and giant PAVF. Following multidisciplinary team (MDT) consultation, the patient underwent thoracoscopic surgery and experienced a successful recovery during follow-up.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.61347