Pulmonary Arteriovenous Malformations (PAVMs)‎ and Pregnancy: A Rare Case of Hemothorax and Review of the Literature

المؤلفون المشاركون

Di Guardo, Federica
Lo Presti, Viviana
Costanzo, Giuliana
Zambrotta, Elisa
Di Gregorio, Luisa Maria
Basile, Antonio
Palumbo, Marco

المصدر

Case Reports in Obstetrics and Gynecology

العدد

المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-4، 4ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2019-04-28

دولة النشر

مصر

عدد الصفحات

4

التخصصات الرئيسية

الأمراض

الملخص EN

Pulmonary arteriovenous malformations (PAVMs) are anatomical abnormalities consisting in a direct connection between pulmonary arteries and veins.

Most of PAVMs are related to Hereditary Hemorrhagic Teleangiectasia, whereas only 10 to 20% are isolated sporadic cases.

PAVMs tend to increase in size naturally; however, several factors can influence their growth such as pulmonary arterial hypertension, puberty, and pregnancy.

Clinical manifestations are related to the right-to-left shunting and include dyspnoea, hypoxia, and pulmonary hypertension.

The presence of PAVMs during pregnancy is associated with an increased risk of complications such as their rupture, haemothorax, and hypovolemic shock.

The treatment reserved to PAVMs was the surgical resection of the lung lobe involving the malformation.

Due to the worldwide acceptance of endovascular technique, the transcatheter embolization (TCE) is today considered as the mainstay of treatment.

Recent studies reported the safeness of the TCE during pregnancy if performed by an experienced radiologist, at second or third trimesters when radiation exposure is believed to have minimal effect on the foetus.

However, although the TCE during pregnancy represents an option, the treatment prior to pregnancy has to be considered the auspicial solution.

Our study reports the case of a dyspnoeic pregnant woman with unknown pAVM causing hemothorax and simultaneously treated for pAVM reparation, left lower lobe resection, and hysterectomy.

Postoperative treatment of embolization was performed to definitively close the pAVM.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Di Guardo, Federica& Lo Presti, Viviana& Costanzo, Giuliana& Zambrotta, Elisa& Di Gregorio, Luisa Maria& Basile, Antonio…[et al.]. 2019. Pulmonary Arteriovenous Malformations (PAVMs) and Pregnancy: A Rare Case of Hemothorax and Review of the Literature. Case Reports in Obstetrics and Gynecology،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1141762

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Di Guardo, Federica…[et al.]. Pulmonary Arteriovenous Malformations (PAVMs) and Pregnancy: A Rare Case of Hemothorax and Review of the Literature. Case Reports in Obstetrics and Gynecology No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1141762

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Di Guardo, Federica& Lo Presti, Viviana& Costanzo, Giuliana& Zambrotta, Elisa& Di Gregorio, Luisa Maria& Basile, Antonio…[et al.]. Pulmonary Arteriovenous Malformations (PAVMs) and Pregnancy: A Rare Case of Hemothorax and Review of the Literature. Case Reports in Obstetrics and Gynecology. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1141762

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1141762