Evidence map›Paper›PMID 34377910›Full record

ArticleEuropean heart journal. Case reports2021

Pulmonary arteriovenous malformation with unexplained cyanosis as the first presentation of hereditary haemorrhagic telangiectasia, case report, and literature review.

Ali Alakhfash, Abdullah Alqwaiee, Abdulrahman Almesned, Zuhair N Al-Hassnan

Open access · goldAbstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. A novelJournal of cardiology cases · 2025
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Ali AlakhfashPediatric Cardiology Department, Prince Sultan cardiac Center-Qassim (PSCC-Qassim), MOH, Qassim, Saudi Arabia.
Abdullah AlqwaieePediatric Cardiology Department, Prince Sultan cardiac Center-Qassim (PSCC-Qassim), MOH, Qassim, Saudi Arabia.
Abdulrahman AlmesnedPediatric Cardiology Department, Prince Sultan cardiac Center-Qassim (PSCC-Qassim), MOH, Qassim, Saudi Arabia.
Zuhair N Al-HassnanDepartment of Genetics, Cardiovascular Genetics Program, King Faisal Specialist Hospital & Research Centre (KFSH&RC), Riyadh, Saudi Arabia.
Saud Al-babtain Cardiac Centre · SAKing Faisal Specialist Hospital & Research Centre · SASapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary arteriovenous malformations (PAVMs) are rare pulmonary vascular anomalies. They can result in right-to-left shunt and, if significant, low systemic saturation, cyanosis, polycythaemia, and paradoxical systemic embolization. CASE SUMMARY: Eighteen months old female child was referred to our centre due to unexplained central and peripheral cyanosis. Based on the agitated saline contrast echocardiography study, computed tomography scan confirmed the presence of abnormal vasculature at the left lower lobe. Percutaneous closure of the PAVM was performed using Amplatzer Duct Occluder type 1 device. The genetic study revealed a pathogenic mutation in the endoglin gene, which is a known cause of hereditary haemorrhagic telangiectasia (HHT) inhered in an autosomal dominance pattern. DISCUSSION: PAVM could be the first manifestation of HHT. Closing the malformation percutaneously is feasible, which can eliminate the right to left shunt and improves the saturation. Genetic study is warranted in these cases, as well as long-term follow-up.

Indexed as

Cardiac catheterizationCase reportHereditary haemorrhagic telangiectasiaPulmonary arteriovenous malformations

Identifiers

PMID34377910
PMCPMC8343466
OpenAlexW3183784348

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.