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- Title
Pulmonary arterovenous malformation causing hemothorax in a pregnant woman without OslerWeber-Rendu syndrome.
- Authors
Di Crescenzo, Vincenzo; Napolitano, Filomena; Vatrella, Alessandro; Zeppa, Pio; Laperuta, Paolo
- Abstract
Pulmonary arteriovenous malformations (PAVMs), although most commonly congenital, are usually detected later in life. Case report: We present a case of a 19-year-old woman with no previous history of AVM or telangiectasia, who presented dyspnea and hypoxia by massive left hemothorax in the 34th week of gestation. After emergent cesarean delivery, a chest computed tomography (CT) with i.v. contrast showed a likely 3 cm area of active contrast in left lower lung. Chest tube placement revealed about 2 liters of blood. The patient was subsequently found to have pulmonary AVM. A successful embolisation of AVM followed by lung atipic resection involving AVM and decortication for lung re-expansion were the treatments provided. Conclusions: Women with known pulmonary AVM should be maximally treated prior to becoming pregnant, and the physician should be alert to complications of pulmonary AVM during pregnancy.
- Publication
Open Medicine, 2015, Vol 10, Issue 1, p549
- ISSN
2391-5463
- Publication type
Article
- DOI
10.1515/med-2015-0093