Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery
Pulmonary arteriovenous malformations (PAVMs), although most commonly congenital, are usually detected later in life. We present a case of a 25-year-old woman with no previous history of AVM or telangiectasia, who presented with life-threatening hypoxia, hypotension, and pleuritic chest pain in 36th...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Pulmonary Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/865195 |
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| author | Nidhi Sood Nikhil Sood Vibhu Dhawan |
| author_facet | Nidhi Sood Nikhil Sood Vibhu Dhawan |
| author_sort | Nidhi Sood |
| collection | DOAJ |
| description | Pulmonary arteriovenous malformations (PAVMs), although most commonly congenital, are usually detected later in life. We present a case of a 25-year-old woman with no previous history of AVM or telangiectasia, who presented with life-threatening hypoxia, hypotension, and pleuritic chest pain in 36th week of gestation. Chest tube placement revealed 4 liters of blood. Patient was subsequently found to have bleeding pulmonary AVM as the source of hemothorax. Successful embolisation of the bleeding vessel followed by thoracoscopic evacuation of the organized clot relieved the hypoxia. Further screening for AVM revealed large splenic AVM for which patient underwent splenectomy in the coming months. |
| format | Article |
| id | doaj-art-479cbe4fd1fd47578c9a1970d6306aa6 |
| institution | Kabale University |
| issn | 2090-1836 2090-1844 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pulmonary Medicine |
| spelling | doaj-art-479cbe4fd1fd47578c9a1970d6306aa62025-02-03T01:02:26ZengWileyPulmonary Medicine2090-18362090-18442011-01-01201110.1155/2011/865195865195Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean DeliveryNidhi Sood0Nikhil Sood1Vibhu Dhawan2OSF Saint Francis Medical Center, Peoria, IL 61637, USAGB Pant Hospital, New Delhi 110016, IndiaCollege of Medicine, University of Illinois, Peoria, IL, USAPulmonary arteriovenous malformations (PAVMs), although most commonly congenital, are usually detected later in life. We present a case of a 25-year-old woman with no previous history of AVM or telangiectasia, who presented with life-threatening hypoxia, hypotension, and pleuritic chest pain in 36th week of gestation. Chest tube placement revealed 4 liters of blood. Patient was subsequently found to have bleeding pulmonary AVM as the source of hemothorax. Successful embolisation of the bleeding vessel followed by thoracoscopic evacuation of the organized clot relieved the hypoxia. Further screening for AVM revealed large splenic AVM for which patient underwent splenectomy in the coming months.http://dx.doi.org/10.1155/2011/865195 |
| spellingShingle | Nidhi Sood Nikhil Sood Vibhu Dhawan Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery Pulmonary Medicine |
| title | Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery |
| title_full | Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery |
| title_fullStr | Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery |
| title_full_unstemmed | Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery |
| title_short | Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery |
| title_sort | pulmonary arteriovenous malformation avm causing tension hemothorax in a pregnant woman requiring emergent cesarean delivery |
| url | http://dx.doi.org/10.1155/2011/865195 |
| work_keys_str_mv | AT nidhisood pulmonaryarteriovenousmalformationavmcausingtensionhemothoraxinapregnantwomanrequiringemergentcesareandelivery AT nikhilsood pulmonaryarteriovenousmalformationavmcausingtensionhemothoraxinapregnantwomanrequiringemergentcesareandelivery AT vibhudhawan pulmonaryarteriovenousmalformationavmcausingtensionhemothoraxinapregnantwomanrequiringemergentcesareandelivery |