Massive hemothorax due to enlarging arteriovenous fistula in pregnancy

A 37-year-old woman with hereditary telangiectasia suffered a life-threatening hemothorax due to an enlarging pulmonary arteriovenous malformation in pregnancy. This was treated by emergency right lower lobectomy and excision of arteriovenous malformations in the right middle and upper lobes, with n...

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Bibliographic Details
Published inChest Vol. 101; no. 5; p. 1452
Main Authors Laroche, C M, Wells, F, Shneerson, J
Format Journal Article
LanguageEnglish
Published United States 01.05.1992
Subjects
Adult
Arteriovenous Malformations - complications
Arteriovenous Malformations - diagnostic imaging
Arteriovenous Malformations - surgery
Female
Hemothorax - diagnostic imaging
Hemothorax - etiology
Humans
Pregnancy
Pregnancy Complications, Cardiovascular - diagnostic imaging
Pregnancy Complications, Cardiovascular - surgery
Pulmonary Artery - abnormalities
Pulmonary Veins - abnormalities
Radiography
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Summary:A 37-year-old woman with hereditary telangiectasia suffered a life-threatening hemothorax due to an enlarging pulmonary arteriovenous malformation in pregnancy. This was treated by emergency right lower lobectomy and excision of arteriovenous malformations in the right middle and upper lobes, with no postoperative complications, and the subsequent delivery of a normal infant. Women with hereditary telangiectasia contemplating pregnancy should be screened for the presence of PAVM to anticipate complications.
ISSN:0012-3692
1931-3543
DOI:10.1378/chest.101.5.1452