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  • Title: Pulmonary arteriovenous malformation masquerading as massive pulmonary thromboembolus.
    Author: McGrath C.
    Journal: Anaesth Intensive Care; 2004 Dec; 32(6):812-7. PubMed ID: 15648993.
    Abstract:
    We present a case of a 78-year-old male with hereditary haemorrhagic telangiectasia and severe hypoxia incorrectly diagnosed as pulmonary embolism following a false positive ventilation/perfusion scan. Anti-coagulation and thrombolysis was complicated by an upper gastro-intestinal haemorrhage. Pulmonary arteriovenous malformations resulted in a clinically significant right-left shunt and created an apparent perfusion defect evident upon radionuclide imaging, leading to diagnostic uncertainty and a potentially dangerous treatment modality.
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