Atrial Fibrillation and Right Bundle Branch Block Complicating Coil Embolization of a Huge Pulmonary Arterio-Venous Malformation

  • Colotto Marco
    Department of Internal Medicine and Medical Specialties, "Sapienza" University-Policlinico Umberto I-Rome, Italy
  • Da Ros Silvia
    Department of Internal Medicine and Medical Specialties, "Sapienza" University-Policlinico Umberto I-Rome, Italy
  • Barbarossa Giulia
    Department of Internal Medicine and Medical Specialties, "Sapienza" University-Policlinico Umberto I-Rome, Italy
  • Renzi Alessandra
    Department of Internal Medicine and Medical Specialties, "Sapienza" University-Policlinico Umberto I-Rome, Italy
  • Vinci Fabio
    Department of Internal Medicine and Medical Specialties, "Sapienza" University-Policlinico Umberto I-Rome, Italy
  • Coletta Paola
    Department of Internal Medicine and Medical Specialties, "Sapienza" University-Policlinico Umberto I-Rome, Italy
  • Maria Salvatori Filippo
    Department of Radiological Sciences, "Sapienza" University-Policlinico Umberto I-Rome, Italy

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抄録

Coil embolization is a safe therapy for pulmonary arterio-venous malformations (PAVMs). We report the case of a 72-year-old woman affected by hereditary hemorrhagic teleangectasia who experienced right bundle branch block and atrial fibrillation 36 hours after embolization of an extended PAVM. To our knowledge, this is the first case of such a complication of embolization of a pulmonary fistula, presumably due to an acute pressure overload on both the right atrium and ventricle. This case report suggests that, after embolization of extended pulmonary fistulas, patients should be carefully monitored for rhythm disturbance and new onset of intraventricular conduction defects.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 50 (24), 2983-2986, 2011

    一般社団法人 日本内科学会

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