Presentation
Case presentation We present a case of a 44-year-old Chinese man with no personal or familial history of bleeding diasthesis that presented with gross hematuria leading to clot retention after routine physical activity. [jmedicalcasereports.biomedcentral.com]
Case Presentation A 32-year-old man presented with a two-year history of chronic cough and episodes of hemoptysis. He had been previously managed as having pulmonary tuberculosis. [jaocr.org]
RAVF may be asymptomatic or present as hypertensive cardiopathy, congestive heart failure, or severe renal hematuria. We present the case of a patient with a congenital RAVF as well as high-output congestive cardiac failure. [vasculardiseasemanagement.com]
A list of the different existing combinations is presented in Table 5. [pediatrics.aappublications.org]
Infants with severe obstruction may present in extremis immediately following delivery. [clinicaladvisor.com]
Entire Body System
- Collapse
December 14, 2006. ^ "Mike Patterson's Collapse Reportedly Related To Brain AVM". sbnation.com. [en.wikipedia.org]
[…] foam sclerosant Click here to view Ethanol is effective for treatment of large, extensive VMs but should be used with caution as it can damage nerves, cause skin necrosis, and induce systemic toxicity including pulmonary vasospasm and cardiovascular collapse [indjvascsurg.org]
- Unconsciousness
[…] and suffered a seizure during a practice, leading to him being diagnosed with AVM. [19] Actor Ricardo Montalbán was born with spinal AVM. [20] During the filming of the 1951 film Across the Wide Missouri, Montalbán was thrown from his horse, knocked unconscious [en.wikipedia.org]
- Epilepsy
[…] are asymptomatic; often the malformation is discovered as part of an autopsy or during treatment of an unrelated disorder (called in medicine an "incidental finding"); in rare cases, its expansion or a micro-bleed from an AVM in the brain can cause epilepsy [en.wikipedia.org]
Respiratoric
- Hemoptysis
Case Presentation A 32-year-old man presented with a two-year history of chronic cough and episodes of hemoptysis. He had been previously managed as having pulmonary tuberculosis. [jaocr.org]
Patients with pulmonary artery abnormalities with extensive collateral vessel formation may develop hemoptysis if collateral vessels rupture. [clinicaladvisor.com]
- Exertional Dyspnea
Most patients are asymptomatic;when symptomatic, hemoptysis, exertional dyspnea, and congestive heart failure from left heart overload are the most common presentations. 8 A cardiac (continuous or systolic) murmur is the most common clinical manifestation [jaocr.org]
Cardiovascular
- Heart Disease
[…] primary underlying conditions such as collagen vascular disease, valvular heart disease, left ventricular failure, pulmonary venoocclusive disease, vasculitis, mediastinal fibrosis and congenital heart disease. [clinicaladvisor.com]
In the United States there are now more than one million adults who have survived their congenital heart disease. [radiologyassistant.nl]
It can affect either sex and is characterised by multiple abnormalities, including congenital heart disease, short stature, developmental delay, cryptorchidism in boys, increased bleeding tendency and characteristic facial features. [patient.info]
Liver, Gall & Pancreas
- Hepatomegaly
Forty-five per cent of infants exhibit hepatomegaly and increased liver echogenicity. Older children may have kidney macrocysts, hepatomegaly and esophageal varices. Pathology reveals microcysts located predominantly in collecting ducts. [cancertherapyadvisor.com]
Skin
- Flushing
Hence, it is used carefully with polypropylene catheters, using 5% dextrose as a flushing solution. [76] It requires special skill to prevent nontarget polymerization or reflux in feeding artery as well as adherence of catheter. [indjvascsurg.org]
- Angiokeratoma
The main unclassified lesions are verrucous hemangioma and angiokeratoma, 53, 54 multifocal lymphangioendotheliomatosis with thrombocytopenia/cutaneovisceral angiomatosis with thrombocytopenia, kaposiform lymphangiomatosis, 55, 56 phosphatase and tensin [pediatrics.aappublications.org]
Neurologic
- Seizure
After a first rupture, the annual bleeding risk may increase to more than 5%. [3] Seizure or brain seizure (46%) Depending on the place of the AVM, it can cause loss of vision in one place. [en.wikipedia.org]
If untreated, renal artery stenosis and hypertension caused by renal artery stenosis may contribute to a number of serious problems, including: Stroke, seizures, mental retardation Thickening of the heart muscle (hypertrophy), which can result in heart [mottchildren.org]
SWS is characterized by facial CM and intracranial vascular malformation of the arachnoid and pia mater meninges and presents with intractable seizures, mental retardation, or glaucoma. [2], [5] Lymphatic malformations Based on the size of the lymphatic [indjvascsurg.org]
Workup
These disorders can be discovered incidentally or during workup for an unexpected clinical event (such as intracranial hemorrhage in the brain or dyspnea in the lungs [ 11 ]). [jmedicalcasereports.biomedcentral.com]
Radiological workup of a patient with suspected secondary hypertension may include Doppler sonography, radionuclear renography, and renal angiogram. [academic.oup.com]
Finding the nidus: Detection and workup of non-central nervous system arteriovenous malformations. Radiographics 2016;36:891-903. 48. Mulligan PR, Prajapati HJ, Martin LG, Patel TH. [indjvascsurg.org]
Treatment
Sclerotherapy – This treatment is used to shrink venous and lymphatic malformations. [chnola.org]
These techniques are usually performed before treatments such as sclerotherapy and embolisation. Treatment Conservative treatment is a good option for patients with mild symptoms. [cirse.org]
However, since most CVMs do not need treatment, or it is delayed until the need for treatment is more obvious, it is now rarely necessary to get angiograms as a first step. [vascularcures.org]
Sometimes the treatment requires several stages to fully eradicate the entire malformation. [virclinic.com]
[…] of complications and morbidity, less risky treatment options should be first-line therapy In contrast to the treatment of AVMs, all VM lesions can be treated using a less aggressive approach It is usually safe to delay treatment until the child reaches [indjvascsurg.org]
Prognosis
[…] possible pulsatility in the downstream draining renal vein CT well-marginated renal lesion that enhances similar to the blood pool early enhancement of the draining renal vein MRI T2: well-marginated signal void T1 C+ (Gd): enhances quickly Treatment and prognosis [radiopaedia.org]
Long-term prognosis following surgical correction of ureterocele is excellent. Vesicoureteral reflux (VUR): Prognosis depends on the grade of VUR. [cancertherapyadvisor.com]
What is the prognosis for patients managed in the recommended ways? There are a number of aspects that determine a patient's prognosis with a congenital pulmonary vascular syndrome. [clinicaladvisor.com]
Prognosis Endovascular therapy with embolization is considered the treatment of choice for AVFs and AVMs because it allows preservation of the unaffected renal parenchyma. [emedicine.medscape.com]
Advances in prenatal diagnosis, fetal surgery and targeted therapies have improved the prognosis and quality of life in affected families [ 1 ]. The kidney [ 1 ] The kidney is the most common site of congenital abnormalities. [patient.info]
Etiology
Etiology of Renal AV Fistula Congenital (25%): varicose-like multiple connections between artery and vein, most common at the upper pole of the kidney, female:male = 3:1 Renal trauma Iatrogenic causes: renal biopsy, kidney surgery Inflammatory etiology [urology-textbook.com]
Etiology The etiology of congenital AVMs is unknown. Conversely, the cause of acquired AVMs is usually known. Percutaneous renal biopsy is the most common known cause of acquired renal AVF. [emedicine.medscape.com]
Renal arteriovenous fistula: a review of etiology, diagnosis and management. Surgery 1986 ; 99 : 114 –118 12 Korn TS, Thurston JM, Sherry CS, Kawalsky DM. [academic.oup.com]
Ongoing controversies regarding etiology, diagnosis, treatment Etiology Most cases of known syndromic forms of CAKUT, renal tubular dysgenesis or certain types of polycystic kidney diseases are causally linked to mutations in specific genes ( Table I, [cancertherapyadvisor.com]
Epidemiology
Epidemiology Renal AVMs are uncommon. The estimated rate in large autopsy series is lower than 1 case per 30,000 patients. [emedicine.medscape.com]
[…] coils, particles, acrylates, or polymers introduced by a radiographically guided catheter, may be used in addition to neurosurgery or radiosurgery, but is rarely successful in isolation except in smaller AVMs. [15] Gamma knife may also be used. [16] Epidemiology [en.wikipedia.org]
Pathophysiology
In 1934, Goldblatt established the pathophysiology of renovascular hypertension, showing that reduction in total blood flow because of the occluding process and the loss of pulsatile character in the artery cause the juxtaglomerular apparatus to secrete [vasculardiseasemanagement.com]
Aneurysmal AVMs are larger than 1 cm in diameter and are located near the renal hilum. [1] Pathophysiology In the cirsoid congenital AVM, multiple communications exist between the arteries and veins. [emedicine.medscape.com]
[…] malformations [ edit ] In the lungs, pulmonary arteriovenous malformations have no symptoms in up to 29% of all cases. [5] Genetics [ edit ] Can occur due to autosomal dominant diseases, such as hereditary hemorrhagic telangiectasia. [ citation needed ] Pathophysiology [en.wikipedia.org]
Prevention
Doctors' recommendations to prevent complications of congenital anomalies of the kidney. [euromd.com]
A better understanding of pathogenesis of CAKUT that occur under these conditions will advance diagnosis, prevention and treatment of CAKUT and prevent associated cardiovascular morbidity. [cancertherapyadvisor.com]
To prevent that, procedures such as endovascular embolization with a partially deployed wall stent, vascular plug devices,9,10 and the “stop- flow” technique have been used.11 However, surgical correction is considered to be safer when, as in our patient [vasculardiseasemanagement.com]
The adverse bleeding event can be therefore prevented. Introduction Laparoscopic donor nephrectomy has become the standard of care in most transplant centres around the world. [oapublishinglondon.com]
Leg-length discrepancy should be treated with orthotic devices to prevent the development of spinal deformities. Corrective bone surgery may eventually be needed to treat significant leg-length discrepancy [6]. [medcraveonline.com]