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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">As malforma&#231;&#245;es arteriovenosas pulmonares &#40;MAVP&#41; est&#227;o associadas a telangiectasia hemorr&#225;gica heredit&#225;ria em cerca de 70&#37; dos casos&#44; podendo cursar com complica&#231;&#245;es neurol&#243;gicas graves decorrentes do embolismo paradoxal potencial&#46; A terap&#234;utica das malforma&#231;&#245;es &#233; realizada no sentido de prevenir estas complica&#231;&#245;es&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Descreve-se o caso cl&#237;nico de uma doente com duas MAVP&#44; no contexto de telangiectasia hemorr&#225;gica heredit&#225;ria&#44; submetida a emboliza&#231;&#227;o com o rolh&#227;o vascular Amplatzer&#46; Este novo dispositivo &#233; cada vez mais utilizado nestas situa&#231;&#245;es&#44; salientando-se algumas das suas caracter&#237;sticas e vantagens em rela&#231;&#227;o a outras t&#233;cnicas de emboliza&#231;&#227;o mais frequentemente utilizadas&#46;</p>"
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Vol. 15. Issue 2.
Pages 331-337 (March - April 2009)
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Vol. 15. Issue 2.
Pages 331-337 (March - April 2009)
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Telangiectasia hemorrágica hereditária e malformações arteriovenosas pulmonares – Embolização com rolhão vascular Amplatzer
Hereditary hemorrhagic telangiectasia and pulmonary arteriovenous malformations – Embolization with Amplatzer vascular plug
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Cláudia Sofia Santos1,7, Ana Norte1,7, Ilda Ferreira2,7, Paulo Almeida3,7, A. Segorbe Luís4,7, Mário Loureiro5,7, M. Fontes Baganha6,7
1 Interna Complementar de Pneumologia
2 Assistente Hospitalar Graduada de Pneumologia
3 Assistente Hospitalar Graduado de Imagiologia
4 Chefe de Serviço de Pneumologia dos HUC
5 Director do Serviço de Pneumologia dos HUC
6 Director do Departamento de Ciências Pneumológicas e Alergológicas dos HUC
7 Departamento de Ciências Pneumológicas e Alergológicas dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
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Resumo

As malformações arteriovenosas pulmonares (MAVP) estão associadas a telangiectasia hemorrágica hereditária em cerca de 70% dos casos, podendo cursar com complicações neurológicas graves decorrentes do embolismo paradoxal potencial. A terapêutica das malformações é realizada no sentido de prevenir estas complicações.

Descreve-se o caso clínico de uma doente com duas MAVP, no contexto de telangiectasia hemorrágica hereditária, submetida a embolização com o rolhão vascular Amplatzer. Este novo dispositivo é cada vez mais utilizado nestas situações, salientando-se algumas das suas características e vantagens em relação a outras técnicas de embolização mais frequentemente utilizadas.

Palavras-chave:
Malformação arteriovenosa pulmonar
telangiectasia hemorrágica hereditária
rolhão vascular Amplatzer
Abstract

Pulmonary arteriovenous malformations (PAVMs) are associated to hereditary hemorrhagic telangiectasia in about 70% of the cases. PAVMs are associated to serious neurologic complications, secondary to inherent paradoxical embolisms. Treatment of the malformations is done to prevent these complications.

The authors report a clinical case of a patient with two PAVMs, with hereditary hemorrhagic telangiectasia, who was treated by embolization with an Amplatzer vascular plug, a new device increasingly used in these situations. The authors emphasise some of its characteristics and advantages when compared with other embolization techniques most commonly used.

Key-words:
Pulmonary arteriovenous malformations
hereditary hemorrhagic telangiectasia
Amplatzer vascular plug
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Copyright © 2009. Sociedade Portuguesa de Pneumologia
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