• Thorac Cardiovasc Surg · Sep 2009

    Case Reports

    Paradoxical brain embolism caused by pulmonary arteriovenous fistula.

    • Q-Z Li, F Yao, L-X Yang, and Z Y Xu.
    • Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
    • Thorac Cardiovasc Surg. 2009 Sep 1;57(6):373-5.

    AbstractWe report here a case of special paradoxical brain embolism in a 40-year-old woman with neurological events who was diagnosed with medulla oblongata infarction. Contrast-enhanced pulmonary CT discovered that the patient had a pulmonary arteriovenous fistula (PAVF). The PAVF was later surgically resected. We conclude that if a patent foramen ovale cannot be confirmed by echocardiography, contrast-enhanced pulmonary CT scan could prove to be a helpful tool to detect another origin of a right-to-left shunt such as pulmonary arteriovenous fistula.Georg Thieme Verlag KG Stuttgart New York.

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