Ischaemic stroke with intact atrial septum--exclude arteriovenous malformations.

Abstract:

:A 44-year-old woman was referred to our centre for interventional cardiac catheterisation. The diagnostic work-up after a preceding ischaemic stroke led to the assumption of a patent foramen ovale due to a positive bubble study. Before the planned percutaneous closure of the patent foramen ovale, we performed a second bubble study, which showed an intact atrial septum. However, after two to three heart cycles bubbles could be detected in the left atrium, assuming a right-to-left shunt of an extracardiac origin most likely in the lung. We therefore performed cardiac catheterisation, yielding a pulmonary arteriovenous malformation in the lower lobe of the right lung. This was successfully closed interventionally by placing a Cook coil, as well as several plugs into the malformation and feeding vessels.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Doering F,Eicken A,Hess J

doi

10.1017/S1047951112002168

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

145-7

issue

1

eissn

1047-9511

issn

1467-1107

pii

S1047951112002168

journal_volume

24

pub_type

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