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2014 | 10 | 1 |

Article title

Pulmonary arterovenous malformation causing
hemothorax in a pregnant woman without Osler-
Weber-Rendu syndrome


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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.








Physical description


21 - 12 - 2015
6 - 11 - 2015
9 - 11 - 2015


  • Department of
    Medicine and Surgery, University of Salerno, Baronissi Campus, Via
    S. Allende, 84081 Baronissi, Salerno, Italy
  • Department of Medicine,
    Thoracic Surgery Unit, University of Salerno, Italy
  • Department of Medicine, Section of Respiratory
    Disease, University of Salerno, Italy
  • Department of Medicine and Surgery, Pathology Unit,
    University of Salerno, Italy
  • Department of Medicine,
    Thoracic Surgery Unit, University of Salerno, Italy


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