Enfermedad de Rendu-Osler-Weber. Fístulas arteriovenosas
Rendu-Osler-Weber syndrome. Pulmonary arteriovenous fistulas. A report of three cases
R.A. Gómez Tejada
, R.J. Gené, C. Faure, S. Rossi, V. Vollberg, K. Rébora
Corresponding author
ragomtej@mail.retina.ar
jgene@intramed.net.ar
Correspondencia: División de Neumonología. Hospital de Clínicas José de San Martín. Avda. Córdoba, 2351, 7.° piso. 1120 Capital Federal. Argentina
jgene@intramed.net.ar
Correspondencia: División de Neumonología. Hospital de Clínicas José de San Martín. Avda. Córdoba, 2351, 7.° piso. 1120 Capital Federal. Argentina
División de Neumonología. División de Cardiología (Sección de Ecocardiografía). Servicio de Diagnóstico por Imágenes. Hospital de Clínicas José de San Martín. Universidad de Buenos Aires. Argentina
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"apellidos" => "Gené" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Faure" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Rossi" ] 4 => array:2 [ "nombre" => "V." "apellidos" => "Vollberg" ] 5 => array:2 [ "nombre" => "K." "apellidos" => "Rébora" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "División de Neumonología. División de Cardiología (Sección de Ecocardiografía). Servicio de Diagnóstico por Imágenes. Hospital de Clínicas José de San Martín. Universidad de Buenos Aires. Argentina" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: División de Neumonología. Hospital de Clínicas José de San Martín. Avda. Córdoba, 2351, 7.° piso. 1120 Capital Federal. Argentina" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Rendu-Osler-Weber syndrome. Pulmonary arteriovenous fistulas. A report of three cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-01-31" "fechaAceptado" => "2002-05-07" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190637" "palabras" => array:2 [ 0 => "Malformaciones vasculares pulmonares" 1 => "Telangiectasia hemorrágica heredofamiliar" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190638" "palabras" => array:2 [ 0 => "Pulmonary arteriovenous malformations" 1 => "Hereditary hemorrhagic telangiectasia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La telangiectasia hemorrágica heredofamiliar (THH) o síndrome de Rendu-Osler-Weber es un trastorno sistémico infrecuente asociado con malformaciones vasculares pulmonares (MPAV). Aunque el diagnóstico clínico puede fundamentarse en las manifestaciones cutaneomucosas, de vías aéreas altas o en los múltiples episodios de sangrado, la presencia de un compromiso pulmonar suele cursar inaparente y definir el pronóstico.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presentan tres pacientes con una THH y con MPAV en los que la medición del shunt con O<span class="elsevierStyleInf">2</span> al 100%, la ecocardiografía con contraste y la tomografía helicoidal sustentan el enfoque diagnóstico no invasor. En uno de los pacientes, la arteriografía confirmó la sospecha de MPAV única. Recibió emboloterapia quirúrgica con un coil y se obtuvo definida mejoría clínica y funcional.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Hereditary hemorrhagic telangiectasia (HHT), or Rendu-Osler-Weber syndrome, is a rare disorder that is closely linked to the development of pulmonary arteriovenous malformations (PAVM). Diagnosis can be based on clinical signs such as upper respiratory tract changes or recurrent hemorrhagic events. Nevertheless, pulmonary involvement, a prognostic factor, may remain undetected.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In the three HTT cases with PAVM we report, the following diagnostic information was obtained non-invasively: shunt fraction measurements (breathing 100% oxygen), echocardiographic contrast studies, and three-dimensional helical computed tomographs. Arteriography demonstrated a single PAVM in one case and the patient underwent successful coil embolization, with clinical and functional improvement.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Congenital pulmonary arteriovenous aneurism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.D. Sloan" 1 => "Cooley" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Roentgenol" "fecha" => "1953" "volumen" => "70" "paginaInicial" => "183" "paginaFinal" => "210" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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| 2023 May | 0 | 1 | 1 |
| 2023 April | 3 | 0 | 3 |
| 2023 March | 8 | 9 | 17 |
| 2023 February | 29 | 20 | 49 |
| 2023 January | 32 | 37 | 69 |
| 2022 December | 39 | 31 | 70 |
| 2022 November | 31 | 23 | 54 |
| 2022 October | 34 | 40 | 74 |
| 2022 September | 33 | 36 | 69 |
| 2022 August | 41 | 53 | 94 |
| 2022 July | 47 | 59 | 106 |
| 2022 June | 64 | 41 | 105 |
| 2022 May | 34 | 53 | 87 |
| 2022 April | 56 | 53 | 109 |
| 2022 March | 54 | 51 | 105 |
| 2022 February | 44 | 35 | 79 |
| 2022 January | 76 | 50 | 126 |
| 2021 December | 34 | 46 | 80 |
| 2021 November | 46 | 45 | 91 |
| 2021 October | 89 | 62 | 151 |
| 2021 September | 50 | 65 | 115 |
| 2021 August | 55 | 58 | 113 |
| 2021 July | 34 | 36 | 70 |
| 2021 June | 48 | 51 | 99 |
| 2021 May | 47 | 46 | 93 |
| 2021 April | 136 | 86 | 222 |
| 2021 March | 107 | 43 | 150 |
| 2021 February | 106 | 34 | 140 |
| 2021 January | 83 | 50 | 133 |
| 2020 December | 68 | 62 | 130 |
| 2020 November | 84 | 38 | 122 |
| 2020 October | 85 | 50 | 135 |
| 2020 September | 30 | 29 | 59 |
| 2020 August | 51 | 33 | 84 |
| 2020 July | 65 | 45 | 110 |
| 2020 June | 53 | 38 | 91 |
| 2020 May | 64 | 49 | 113 |
| 2020 April | 48 | 16 | 64 |
| 2020 March | 40 | 49 | 89 |
| 2020 February | 42 | 48 | 90 |
| 2020 January | 48 | 26 | 74 |
| 2019 December | 60 | 30 | 90 |
| 2019 November | 43 | 32 | 75 |
| 2019 October | 40 | 642 | 682 |
| 2019 September | 54 | 42 | 96 |
| 2019 August | 55 | 11 | 66 |
| 2019 July | 73 | 22 | 95 |
| 2019 June | 93 | 36 | 129 |
| 2019 May | 68 | 64 | 132 |
| 2019 April | 134 | 57 | 191 |
| 2019 March | 31 | 19 | 50 |
| 2019 February | 25 | 18 | 43 |
| 2019 January | 29 | 15 | 44 |
| 2018 December | 21 | 27 | 48 |
| 2018 November | 60 | 25 | 85 |
| 2018 October | 62 | 13 | 75 |
| 2018 September | 78 | 13 | 91 |
| 2018 May | 5 | 2 | 7 |
| 2018 April | 5 | 7 | 12 |
| 2018 March | 5 | 9 | 14 |
| 2018 February | 8 | 11 | 19 |
| 2018 January | 9 | 7 | 16 |
| 2017 December | 27 | 17 | 44 |
| 2017 November | 19 | 10 | 29 |
| 2017 October | 11 | 31 | 42 |
| 2017 September | 2 | 13 | 15 |
| 2017 August | 13 | 24 | 37 |
| 2017 July | 12 | 22 | 34 |
| 2017 June | 8 | 28 | 36 |
| 2017 May | 10 | 24 | 34 |
| 2017 April | 7 | 16 | 23 |
| 2017 March | 12 | 28 | 40 |
| 2017 February | 5 | 18 | 23 |
| 2017 January | 4 | 7 | 11 |
| 2016 December | 11 | 8 | 19 |
| 2016 November | 23 | 21 | 44 |
| 2016 October | 26 | 27 | 53 |
| 2016 September | 31 | 14 | 45 |
| 2016 August | 20 | 5 | 25 |
| 2016 July | 25 | 6 | 31 |
| 2016 June | 28 | 12 | 40 |
| 2016 May | 19 | 8 | 27 |
| 2016 April | 4 | 0 | 4 |
| 2016 March | 9 | 3 | 12 |
| 2016 February | 5 | 2 | 7 |
| 2016 January | 30 | 20 | 50 |
| 2015 December | 30 | 19 | 49 |
| 2015 November | 26 | 9 | 35 |
| 2015 October | 228 | 1 | 229 |
| 2015 September | 198 | 0 | 198 |
| 2015 August | 192 | 0 | 192 |
| 2015 July | 268 | 0 | 268 |
| 2015 June | 199 | 0 | 199 |
| 2015 May | 239 | 0 | 239 |
| 2015 April | 181 | 0 | 181 |
| 2015 March | 171 | 0 | 171 |
| 2015 February | 189 | 0 | 189 |
| 2015 January | 155 | 0 | 155 |
| 2014 December | 150 | 0 | 150 |
| 2014 November | 207 | 0 | 207 |
| 2014 October | 219 | 0 | 219 |
| 2014 September | 198 | 0 | 198 |
| 2014 August | 154 | 0 | 154 |
| 2014 July | 157 | 0 | 157 |
| 2014 June | 175 | 0 | 175 |
| 2014 May | 228 | 0 | 228 |
| 2014 April | 170 | 0 | 170 |
| 2014 March | 170 | 0 | 170 |
| 2014 February | 132 | 0 | 132 |
| 2014 January | 114 | 0 | 114 |
| 2013 December | 78 | 0 | 78 |
| 2013 November | 87 | 0 | 87 |
| 2013 October | 90 | 0 | 90 |
| 2013 September | 93 | 0 | 93 |
| 2013 August | 112 | 0 | 112 |
| 2013 July | 119 | 0 | 119 |
| 2013 June | 87 | 0 | 87 |
| 2013 May | 82 | 0 | 82 |
| 2013 April | 79 | 0 | 79 |
| 2013 March | 30 | 0 | 30 |
| 2000 January | 9146 | 0 | 9146 |
Show all
