PMC3420761_01
Finger clubbing.
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fig1
Physical examination on admission revealed cyanosis and finger clubbing (Figure 1).
Pulmonary computed tomographic angiography (CTA) shows pulmonary arteriovenous malformation.
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fig2
Then, pulmonary computed tomographic angiography (CTA) shows pulmonary arteriovenous malformation, perhaps diffuse pulmonary arteriovenous fistulae (Figure 2).
Contrast echocardiography shows that microbubbles (the arrow) produced by contrast agent enter the left ventricle three heart beats after the right.
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fig3
Contrast echocardiography then showed enhancement in the left heart three beats after microbubbles opacified the right heart, which confirmed intra-pulmonary shunting (Figure 3).
CTA reveals that intestinal and splenic venous blood bypassed the liver and drains into the inferior vena cava.
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fig4
The CTA revealed that intestinal and splenic venous blood bypasses the liver and drains into the inferior vena cava (Figure 4).