Evidence map›Paper›PMID 41116915›Full record

ArticleCureus2025

From Scar to Shunt: Incidental Discovery of Pulmonary Arteriovenous Malformation in a Healthy Adult Trauma Patient.

Miriam Ifegwu, Savannah Aibaye, Genevieve Crawley, Fred Javdan

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Miriam IfegwuCollege of Medicine, Ross University School of Medicine, Miramar, USA.
Savannah AibayeCollege of Medicine, Ross University School of Medicine, Miramar, USA.
Genevieve CrawleyCollege of Medicine, Ross University School of Medicine, Miramar, USA.
Fred JavdanDepartment of Internal Medicine, California Hospital Medical Center, Los Angeles, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary arteriovenous malformations (PAVMs) are rare vascular anomalies that create right-to-left shunts, predisposing patients to hypoxemia, paradoxical emboli, and cerebral abscess. While often congenital and associated with hereditary hemorrhagic telangiectasia (HHT), they may also be acquired. We describe the case of a 59-year-old Hispanic man who was incidentally found to have a large left lower lobe PAVM with a 1.1 cm feeding artery during evaluation for traumatic injuries. Despite severe hypoxemic respiratory failure, he had no respiratory symptoms or distress. Initial embolization reduced but did not eliminate the shunt, necessitating a second procedure that achieved complete closure. This case reinforces the importance of recognizing that PAVMs can remain clinically silent despite severe physiologic burden and often require staged management when large feeding arteries are involved. Vigilant follow-up and genetic evaluation remain essential to preventing long-term complications.

Indexed as

asymptomatic hypoxemiaembolization therapyhhtpavmpulmonary arteriovenous malformationtrauma evaluation

Identifiers

PMID41116915
PMCPMC12535733

What OpenQuestion holds

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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.