Hereditary Hemorrhagic Telangiectasia with Pulmonary Arteriovenous Malformations and Embolic Strokes Treated Successfully with Video-assisted Thoracoscopic Resection
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- Akiyama Shintaro
- Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, Japan
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- Hanada Shigeo
- Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, Japan
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- Uruga Hironori
- Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, Japan
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- Takaya Hisashi
- Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, Japan
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- Miyamoto Atsushi
- Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, Japan
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- Morokawa Nasa
- Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, Japan
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- Kurosaki Atsuko
- Department of Diagnostic Radiology, Fukujuji Hospital, Japan Anti-tuberculosis Association, Japan
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- Fujii Takeshi
- Department of Pathology, Toranomon Hospital, Japan
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- Kohno Tadasu
- Department of Thoracic Surgery, Respiratory Center, Toranomon Hospital, Japan
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- Kishi Kazuma
- Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, Japan Okinaka Memorial Institute for Medical Research, Japan
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抄録
A 67-year-old hypoxic woman was admitted following two episodes of cerebral infarction. Based on the clinical presentation and radiological findings, a diagnosis of hereditary hemorrhagic telangiectasia was made and the cerebral ischemic complications were considered to have been caused by paradoxical embolizations related to pulmonary arteriovenous malformations (PAVMs). We performed video-assisted thoracoscopic surgery (VATS) and identified turbulent thrombi in one of the PAVMs that were capable of circulating systemically and inducing embolic strokes. The condition of the patient improved immediately following VATS. This case suggests that VATS may be a preferred therapeutic option in the treatment of patients with PAVM accompanying recurrent episodes of life-threatening complications such as strokes.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 52 (10), 1091-1094, 2013
一般社団法人 日本内科学会