Zheng J, Wu QY, Zeng X, Zhang DF. Transient ischemic attack induced by pulmonary arteriovenous fistula in a child: A case report. World J Clin Cases 2023; 11(9): 2009-2014 [PMID: 36998959 DOI: 10.12998/wjcc.v11.i9.2009]
Corresponding Author of This Article
Du-Fei Zhang, MBBS, Chief Physician, Director, Department of Pediatrics, Hainan Women and Children’s Medical Center, No. 17 Changbin Road, Xiuying District, Haikou 570000, Hainan Province, China. freezdfei@163.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 26, 2023; 11(9): 2009-2014 Published online Mar 26, 2023. doi: 10.12998/wjcc.v11.i9.2009
Transient ischemic attack induced by pulmonary arteriovenous fistula in a child: A case report
Jun Zheng, Qi-Yue Wu, Xia Zeng, Du-Fei Zhang
Jun Zheng, Qi-Yue Wu, Xia Zeng, Du-Fei Zhang, Department of Pediatrics, Hainan Women and Children’s Medical Center, Haikou 570000, Hainan Province, China
Author contributions: Zheng J and Zhang DF drafted the manuscript; Wu QY and Zeng X collected the clinical data; Zheng J and Zhang DF revised the manuscript for intellectual content; All authors read and approved the final manuscript.
Supported byScientific Research Project of Hainan Provincial Health Industry, China, No. 20A200081; and Clinical Medical Center Project of Hainan Province, China, No. QWYH202175.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: All the authors report having no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Du-Fei Zhang, MBBS, Chief Physician, Director, Department of Pediatrics, Hainan Women and Children’s Medical Center, No. 17 Changbin Road, Xiuying District, Haikou 570000, Hainan Province, China. freezdfei@163.com
Received: November 12, 2022 Peer-review started: November 12, 2022 First decision: January 30, 2023 Revised: February 1, 2023 Accepted: March 3, 2023 Article in press: March 3, 2023 Published online: March 26, 2023 Processing time: 124 Days and 17 Hours
Abstract
BACKGROUND
Cerebral ischemic stroke is attributed to paradoxical cerebral embolism. Pulmonary arteriovenous fistula (PAVF) is a rare potential cause of cerebral ischemic stroke, and cerebral ischemic stroke induced by PAVF in children is rare.
CASE SUMMARY
We report a case of right PAVF that presented as a transient ischemic attack (TIA) in a 13-year-old boy. The patient underwent embolization therapy and remained clinically stable for 2 years after treatment.
CONCLUSION
TIA induced by PAVF in children is rare, lacks typical clinical manifestations, and should not be ignored.
Core Tip: Pulmonary arteriovenous fistula (PAVF) is a rare potential cause of cerebral ischemic stroke. Children with PAVF have atypical clinical presentations, and even present with cerebral ischemic stroke or transient ischemic attack as the only clinical finding. If a PAVF is suspected, we recommend that appropriate examinations should be performed for early detection, and then active treatment and follow-up should be offered.
