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European Journal of Echocardiography Advance Access published online on August 23, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen224
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Transoesophageal echocardiographic diagnosis of pulmonary arteriovenous malformation in a patient with ischaemic stroke

Seshu C. Rao and Michael L. Main*

Saint Luke's Mid America Heart Institute, 4330 Wornall Road, Suite 2000, Kansas City, MO 64111, USA

Received 30 May 2008; accepted after revision 1 August 2008.

* Corresponding author. Tel: 816-751-8545. E-mail address: mmain{at}cc-pc.com


  Abstract

We report a case of an ischaemic stroke secondary to an isolated pulmonary arteriovenous malformation. In this case, transoesophageal echocardiogram played a pivotal role in shunt identification, exclusion of atrial septal defect, and definitive diagnosis and localization of the pulmonary arteriovenous malformations. Pulmonary arteriovenous malformations should be excluded in all patients with cryptogenic stroke.

Keywords: Cerebral embolism; Pulmonary arteriovenous malformation; Stroke; Cerebrovascular accident; Transoesophageal echocardiography


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