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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew

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Volume 10, Issue 1

Issues

Volume 10 (2015)

Pulmonary arterovenous malformation causing hemothorax in a pregnant woman without Osler- Weber-Rendu syndrome

Vincenzo Di Crescenzo
  • Department of Medicine and Surgery, University of Salerno, Baronissi Campus, Via S. Allende, 84081 Baronissi, Salerno, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Filomena Napolitano / Alessandro Vatrella / Pio Zeppa / Paolo Laperuta
Published Online: 2015-12-21 | DOI: https://doi.org/10.1515/med-2015-0093

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.

Keywords: Pulmonary arteriovenous malformations Osler-Weber-Rendu syndrome pregnant woman

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About the article

Received: 2015-11-06

Accepted: 2015-11-09

Published Online: 2015-12-21


Citation Information: Open Medicine, Volume 10, Issue 1, ISSN (Online) 2391-5463, DOI: https://doi.org/10.1515/med-2015-0093.

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© 2015 Vincenzo Di Crescenzo et al.. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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