EN
Pulmonary arteriovenous malformations
(PAVMs), although most commonly congenital, are
usually detected later in life. Case report: We present a
case of a 19-year-old woman with no previous history
of AVM or telangiectasia, who presented dyspnea and
hypoxia by massive left hemothorax in the 34th week of
gestation. After emergent cesarean delivery, a chest computed
tomography (CT) with i.v. contrast showed a likely
3 cm area of active contrast in left lower lung. Chest tube
placement revealed about 2 liters of blood. The patient was
subsequently found to have pulmonary AVM. A successful
embolisation of AVM followed by lung atipic resection
involving AVM and decortication for lung re-expansion
were the treatments provided. Conclusions: Women with
known pulmonary AVM should be maximally treated prior
to becoming pregnant, and the physician should be alert
to complications of pulmonary AVM during pregnancy.