{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T11:15:33Z","timestamp":1764587733833,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,3,27]]},"abstract":"<jats:p>The incidence of pulmonary arteriovenous malformations (PAVMs) is 2.5 in 100\u2005000. 80% are associated with Osler-Weber-Rendu syndrome or hereditary haemorrhagic telangiectasia. We report the case of a 70-year-old man with a 6\u2005cm spherical mass incidentally found on chest X-ray. There was a localised systolic bruit over the right lower zone posteriorly; however, he was asymptomatic. He had suffered a stroke, affecting his right hand and his speech, from which he recovered. He experienced regular transient ischaemic attacks, on an average of every 2\u2005months. He underwent a right lower lobectomy and on ligating the right lower lobe pulmonary artery the saturations of oxygen rose from 92% to 97%, demonstrating a significant right to left extracardiac shunt. Postoperative recovery was excellent and 1\u2005year later the patient reports no further neurological symptoms. 40% of such lesions exhibit symptoms, however, only one-third are neurological. Treatment should be by percutaneous embolisation.<\/jats:p>","DOI":"10.1136\/bcr-2014-207786","type":"journal-article","created":{"date-parts":[[2015,4,16]],"date-time":"2015-04-16T14:14:04Z","timestamp":1429193644000},"page":"bcr2014207786","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["A large pulmonary arteriovenous malformation causing cerebrovascular accidents"],"prefix":"10.1136","volume":"2015","author":[{"given":"David","family":"Sladden","sequence":"first","affiliation":[{"name":"Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Casha","sequence":"additional","affiliation":[{"name":"Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conrad","family":"Azzopardi","sequence":"additional","affiliation":[{"name":"Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Manche\u2019","sequence":"additional","affiliation":[{"name":"Department of Cardiac Services, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,4,16]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082723164284000_2015.apr16_1.bcr2014207786.1","DOI":"10.1136\/pmj.78.918.191"},{"doi-asserted-by":"publisher","key":"2025082723164284000_2015.apr16_1.bcr2014207786.2","DOI":"10.1136\/jmg.31.12.925"},{"doi-asserted-by":"publisher","key":"2025082723164284000_2015.apr16_1.bcr2014207786.3","DOI":"10.1378\/chest.13-0716"},{"key":"2025082723164284000_2015.apr16_1.bcr2014207786.4","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/S0003-4975(10)60465-1","article-title":"Arteriovenous fistula of the lung","volume":"26","author":"Prager","year":"1983","journal-title":"Ann Thorac Surg"},{"key":"2025082723164284000_2015.apr16_1.bcr2014207786.5","first-page":"460","article-title":"Pulmonary arteriovenous fistulas","volume":"49","author":"Dines","year":"1974","journal-title":"Mayo Clin Proc"},{"key":"2025082723164284000_2015.apr16_1.bcr2014207786.6","first-page":"176","article-title":"Pulmonary arteriovenous fistula","volume":"58","author":"Dines","year":"1983","journal-title":"Mayo Clin Proc"},{"doi-asserted-by":"publisher","key":"2025082723164284000_2015.apr16_1.bcr2014207786.7","DOI":"10.1053\/euje.2001.0089"},{"doi-asserted-by":"crossref","unstructured":"Giordano P , Sangerardi M , Suppressa P , et al . 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