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Journal Information
Vol. 38. Issue 6.
Pages 288-290 (June 2002)
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Vol. 38. Issue 6.
Pages 288-290 (June 2002)
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Diagnóstico y tratamiento de las fístulas arteriovenosas pulmonares
Diagnosis and treatment of pulmonary arteriovenous fistulas
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R. López Vimea, J. De Miguel Díezb,
Corresponding author
med012585@saludalia.com

Correspondencia: J. de Miguel Díez. Servicio de Neumología. Hospital Universitario Gregorio Marañón.c/ Doctor Esquerdo, 46. 28007 Madrid
, B. Jara Chinarroa, R. Salgado Salinasc, D. Gómez Santosc, J.A. Serrano Iglesiasa
a Servicios de Neumología Hospital Universitario de Getafe. Getafe. Madrid
b Servicio de Neumología. Hospital General Universitario Gregorio Marañón. Madrid
c Servicios de Radiodiagnóstico. Hospital Universitario de Getafe. Getafe. Madrid
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Las fístulas arteriovenosas pulmonares son malformaciones vasculares raras. Con frecuencia se asocian con la enfermedad de Rendu-Osler-Weber (ROW). Presentan una morbilidad y una mortalidad significativas, que se derivan de las complicaciones hemorrágicas y neurológicas que pueden provocar

En este artículo se describe a 2 pacientes, madre e hijo, diagnosticados previamente de enfermedad de ROW, que presentaron un infarto isquémico cerebral y un absceso cerebral con una tromboembolia pulmonar masiva, respectivamente. En ambos casos se realizó una tomografía computarizada helicoidal que demostró la existencia de fístulas arteriovenosas pulmonares. Ante estos hallazgos se practicó un procedimiento de embolización

Palabras clave:
Fistulas arteriovenosas pulmonares
Enfermedad de Rendu-Osler-Weber
Embolización

Pulmonary arteriovenous fistulas are rare malformations often associated with Rendu-Osler-Weber (ROW) disease. Morbidity and mortality are significant and arise from hemorrhagic and neurological complications

We report the cases of two patients, mother and son, with earlier diagnoses of ROW disease, who suffered, respectively, a stroke and a brain abscess with massive pulmonary thromboembolism. Helicoid computed axial tomographic scans demonstrated pulmonary arteriovenous fistulas in both. Given these findings, we performed embolotherapy

Keywords:
Pulmonary arteriovenous fistulas
Rendu-Osler-Weber disease
Embolotherapy
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Bibliografía
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Copyright © 2002. Sociedad Española de Neumología y Cirugía Torácica
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