Recurrent neurological accidents due to pulmonary arteriovenous fistulae
Bazelly, B.; Marchand, M.; de Riberolles, C.; Neveux, J.Y.
La Nouvelle Presse Medicale 10(44): 3629-3630
1981
ISSN/ISBN: 0301-1518 PMID: 7322894 Document Number: 174946
The authors report a case of recurrent cerebral embolism in a 43-year-old patient with a familial form of Rendu-Osler-Weber disease and review their experience of 19 cases of pulmonary arteriovenous fistula. Neurological complications were rare but considerably aggravated the disease. They were due to a significant right/left shunt but remained unpredictable, being unrelated to peripheral arterial saturation. The pathophysiological mechanisms and therapeutic possibilities are discussed.