A Case of Multiple Pulmonary Arteriovenous Malformation in Pregnancy.

Lee, Byung Ho; Cho, Young Seon; Choi, Cheon Woong; Yoo, Jee Hong; Kang, Hong Mo

doi:2002.52.5.545

Tuberc Respir Dis > Volume 52(5); 2002 > Article

Case Report

Tuberculosis and Respiratory Diseases 2002;52(5):545-549.
DOI: https://doi.org/10.4046/trd.2002.52.5.545 Published online May 1, 2002.

A Case of Multiple Pulmonary Arteriovenous Malformation in Pregnancy.

Byung Ho Lee, Young Seon Cho, Cheon Woong Choi, Jee Hong Yoo, Hong Mo Kang

Department of Internal Medicine, Kyung Hee University Medical School, Seoul, Korea. ccwmd@freechal.com

Abstract

A pulmonary arteriovenous fistula is an uncommon malformation. In pregnancy altered hemodynamics and hormones cause changes in a PAVM(pulmonary arteriovenous malformation) that predispose them to deterioration. Therefore, a PAVM can cause serious and life-threatening complications in pregnancy. Death ofter results from a cerebral abscess and a rupture of the malformation with a massive hemorrhage. Recently, we experienced a case of a multiple PAVM in pregnang 38 year old woman, which could not be obseved in the old chest PA, 1 year age. The PAVM was confirmed by CT and was angiography and treated by percutaneous embolization. The patient is suspected to have HHT (Hereditary hemorrhagic telangiectasia)

Key Words: Pulmonary arteriovenous malformation, Pregnancy