Tuberc Respir Dis.  1995 Oct;42(5):767-771. 10.4046/trd.1995.42.5.767.

A Case of the Bronchial Artery-Pulmonary Vein Malformation

• Yoo TS
• Jo YI
• Heo WM
• Jin CJ
• Song KS
• Yong SJ
• Shin KC

• KMID: 2128557
• DOI: http://doi.org/10.4046/trd.1995.42.5.767

Abstract

The bronchial artery-pulmonary vein malformation should be called the systemic artery-to- pulmonary vein arterioveonus malformation in the lung. Although pulmonary arteriovenous malformation has been well documented in intrapulmonary arteriovenous malformation, the systemic artery-to-pulmonary vein arteriovenous malformation is rare. Most patients with systemic artery-to-pulmonary vein arteriovenous malformation is asymptomatic and the diagnosis of these anomaly may be done by continuous murmur or abnormal chest X-ray on the physical examination. The pathogenesis of this condition is congenital malformation which explains these anastomoses between the pulmonary vein and accessory brochial arteries and acquired malformation which explains development of new blood vessel to supply large enough to cause significant systemic-pulmonary shunts due to inflammation secondary to infection, trauma, or previous surgery. We experienced a case of the bronchial artery-pulmonary vein malformation which was detected on angiography in 20-year-old women whose chief complain is hemoptysis. This massive hemoptysis was controlled by selective brochial artery embolization with Gelfoam and Ivalon particles.

Keyword

Arteriovenous malformation; Angiography; Bronchial artery embolization

MeSH Terms

Angiography
Arteries
Arteriovenous Malformations
Blood Vessels
Diagnosis
Female
Gelatin Sponge, Absorbable
Hemoptysis
Humans
Inflammation
Lung
Physical Examination
Pulmonary Veins
Thorax
Veins*
Young Adult