Chronic cyanosis since infancy: Unveiling a giant right pulmonary arteriovenous malformation

Giant pulmonary arteriovenous malformations (PAVMs) are rare vascular anomalies involving direct connections between pulmonary arteries and veins, leading to right-to-left shunting and systemic hypoxemia. While small PAVMs may be asymptomatic, larger lesions often present with dyspnea, cyanosis, and...

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Main Authors: Dian Komala, Harry Galuh Nugraha, Firman Ramadhan, Rais Khairuddin, Rahmat Budi Kuswiyanto, Putria Rayani Apandi
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325006326
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author Dian Komala
Harry Galuh Nugraha
Firman Ramadhan
Rais Khairuddin
Rahmat Budi Kuswiyanto
Putria Rayani Apandi
author_facet Dian Komala
Harry Galuh Nugraha
Firman Ramadhan
Rais Khairuddin
Rahmat Budi Kuswiyanto
Putria Rayani Apandi
author_sort Dian Komala
collection DOAJ
description Giant pulmonary arteriovenous malformations (PAVMs) are rare vascular anomalies involving direct connections between pulmonary arteries and veins, leading to right-to-left shunting and systemic hypoxemia. While small PAVMs may be asymptomatic, larger lesions often present with dyspnea, cyanosis, and related complications. An 18-year-old female with progressive dyspnea and cyanosis—first noted during infancy—was found to have a giant PAVM in the right lower lung lobe on thoracic computed tomography (CT). Imaging, particularly computed tomography (CT), was essential for diagnosis and treatment planning. This case underscores the need to consider PAVMs in the differential diagnosis of chronic cyanosis and highlights the critical role of radiologists in identifying and characterizing these lesions to guide appropriate management.and characterizing these lesions to support optimal clinical decision-making.
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issn 1930-0433
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publishDate 2025-10-01
publisher Elsevier
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series Radiology Case Reports
spelling doaj-art-a2265f671d7e4a748855ce373d2a8b3e2025-08-20T03:23:29ZengElsevierRadiology Case Reports1930-04332025-10-0120105353535610.1016/j.radcr.2025.06.084Chronic cyanosis since infancy: Unveiling a giant right pulmonary arteriovenous malformationDian Komala0Harry Galuh Nugraha1Firman Ramadhan2Rais Khairuddin3Rahmat Budi Kuswiyanto4Putria Rayani Apandi5Department of Radiology, Faculty of Medicine, Universitas Padjadjaran, West Java, IndonesiaDepartment of Radiology, Faculty of Medicine, Universitas Padjadjaran, West Java, IndonesiaDepartment of Radiology, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia; Corresponding author.Department of Radiology, Faculty of Medicine, Universitas Padjadjaran, West Java, IndonesiaDepartment of Pediatric, Faculty of Medicine, Universitas Padjadjaran, West Java, IndonesiaDepartment of Pediatric, Faculty of Medicine, Universitas Padjadjaran, West Java, IndonesiaGiant pulmonary arteriovenous malformations (PAVMs) are rare vascular anomalies involving direct connections between pulmonary arteries and veins, leading to right-to-left shunting and systemic hypoxemia. While small PAVMs may be asymptomatic, larger lesions often present with dyspnea, cyanosis, and related complications. An 18-year-old female with progressive dyspnea and cyanosis—first noted during infancy—was found to have a giant PAVM in the right lower lung lobe on thoracic computed tomography (CT). Imaging, particularly computed tomography (CT), was essential for diagnosis and treatment planning. This case underscores the need to consider PAVMs in the differential diagnosis of chronic cyanosis and highlights the critical role of radiologists in identifying and characterizing these lesions to guide appropriate management.and characterizing these lesions to support optimal clinical decision-making.http://www.sciencedirect.com/science/article/pii/S1930043325006326Pulmonary arteriovenous malformation (PAVM)Chronic cyanosisComputed tomography
spellingShingle Dian Komala
Harry Galuh Nugraha
Firman Ramadhan
Rais Khairuddin
Rahmat Budi Kuswiyanto
Putria Rayani Apandi
Chronic cyanosis since infancy: Unveiling a giant right pulmonary arteriovenous malformation
Radiology Case Reports
Pulmonary arteriovenous malformation (PAVM)
Chronic cyanosis
Computed tomography
title Chronic cyanosis since infancy: Unveiling a giant right pulmonary arteriovenous malformation
title_full Chronic cyanosis since infancy: Unveiling a giant right pulmonary arteriovenous malformation
title_fullStr Chronic cyanosis since infancy: Unveiling a giant right pulmonary arteriovenous malformation
title_full_unstemmed Chronic cyanosis since infancy: Unveiling a giant right pulmonary arteriovenous malformation
title_short Chronic cyanosis since infancy: Unveiling a giant right pulmonary arteriovenous malformation
title_sort chronic cyanosis since infancy unveiling a giant right pulmonary arteriovenous malformation
topic Pulmonary arteriovenous malformation (PAVM)
Chronic cyanosis
Computed tomography
url http://www.sciencedirect.com/science/article/pii/S1930043325006326
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