Case Report
Volume 3 Issue 3 - 2020
Young Female with Acute Ischemic Stroke Secondary to Paradoxical Embolism from an Undiagnosed PAVM/HHT. Case Report and Literature Review
Ammar Ashraf*, Ahmed Mohamed Abdelrahman, Ibrahim Abdulhakim Ibrahim Al Shikmubarak, Osama Rizk and Marwan Abdulrahman Alshaikh Husain
Department of Medical Imaging, Ministry of National Guard Health Affairs, King Abdulaziz Hospital, Al-Ahsa, Saudi Arabia
*Corresponding Author: Ammar Ashraf, Department of Medical Imaging, Ministry of National Guard Health Affairs, King Abdulaziz Hospital, Al-Ahsa, Saudi Arabia.
Received: February 04, 2020; Published: February 17, 2020




Abstract

Pulmonary arteriovenous malformation (PAVM) is an abnormal direct capillary free communication between pulmonary arteries and veins which results in a right-to-left intrapulmonary shunt. Depending on the size and number of these vascular malformations and degree of the right-to-left shunt, PAVM can present with dyspnea, cyanosis or paradoxical embolism. Paradoxical embolism from a previously unknown isolated PAVM is a rare cause of ischemic stroke which is usually overlooked in most cases at the initial presentation. Transcatheter embolization (TCE) is the gold standard treatment for these PAVMs which decreases the risk of paradoxical embolism and other associated complications.

Here, we report a case of a young female presenting with acute ischemic stroke secondary to paradoxical embolism from an undiagnosed PAVM. We also review the related literature.

Keywords: PAVM; Capillary Free; Ischemic Stroke

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Citation: Ammar Ashraf., et al. “Young Female with Acute Ischemic Stroke Secondary to Paradoxical Embolism from an Undiagnosed PAVM/HHT. Case Report and Literature Review”. EC Clinical and Medical Case Reports 3.3 (2020): 01-11.

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