alexa Multiple Pulmonary Arteriovenous Fistula in a Mother an
ISSN: 2329-9517

Journal of Cardiovascular Diseases & Diagnosis
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Case Report

Multiple Pulmonary Arteriovenous Fistula in a Mother and His Son: A Case Report

Ata Firouzi*, Soudabe Behrooj, Mohsen Neshati Pirborj, Majid Abedinejad and Omid Shafe

Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

*Corresponding Author:
Ata Firouzi
Cardiovascular Intervention Research Center
Rajaie Cardiovascular Medical and Research Center
Iran University of Medical Sciences, Tehran, Iran
Tel: 982123922174
Fax: 982122663217
E-mail: [email protected]

Received date: May 24, 2017; Accepted date: June 29, 2017; Published date: July 04, 2017

Citation: Firouzi A, Behrooj S, Pirborj MN, Abedinejad M, Shafe O (2017) Multiple Pulmonary Arteriovenous Fistula in a Mother and His Son: A Case Report. J Cardiovasc Dis Diagn 5:285. doi: 10.4172/2329-9517.1000285

Copyright: © 2017 Firouzi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Multiple Pulmonary Arteriovenous Fistulas (PAVFs) are rare vascular abnormalities in the general population, with a report on 15000 autopsies revealing only 3 cases of multiple PAVFs. However, these abnormal communications between pulmonary arteries and veins are commonly seen in patients with Hereditary Hemorrhagic Telangiectasia (HHT). Several conditions such as cirrhosis, chest trauma, metastatic carcinoma, schistosomiasis, and systemic amyloidosis are accountable for acquired form PAVF. We describe 2 patients (mother and son) with multiple PAVFs and no apparent signs or symptoms suggestive of HHT. A pulmonary artery injection wes performed for Case 1 (mother) and showed bilateral PAVFs with aneurysmal dilation. Given the diagnosis of PAVFs in the mother, we considered the same pathology for the child’s symptoms. Therefore, the boy also underwent pulmonary angiography, which revealed multiple bilateral PAVFs. Both patients underwent interventional angiography and the PAVFs were occulted with stainless coil. In conclusion, the presence of multiple PAVFs should be considered in the differential diagnosis of patients with unexplained exertional dyspnea and cyanosis, even in the absence of diagnostic features suggestive of HHT.


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