Tuberc Respir Dis.
2002 May;52(5):545-549.
A Case of Multiple Pulmonary Arteriovenous Malformation in Pregnancy
- Affiliations
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- 1Department of Internal Medicine, Kyung Hee University Medical School, Seoul, Korea. ccwmd@freechal.com
Abstract
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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)