Systemic supply to a pulmonary arteriovenous malformation: potential explanation for recurrence.

Wispelaere, J F;Trigaux, Jean-Paul;Weynants, P.;Delos, Monique;Coene, B D
(1996) Cardiovascular and Interventional Radiology — Vol. 19, n° 4, p. 285-287 (1996)

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Authors
  • Wispelaere, J F
    Author
  • Trigaux, Jean-PaulMONT
    Author
  • Weynants, P.
    Author
  • Author
  • Coene, B D
    Author
Abstract
A pregnant woman presented with hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome) and a single pulmonary arteriovenous malformation (AVM) that had been embolized 5 years previously. Partly due to pregnancy, recanalization of the aneurysm occurred with subsequent hemoptysis. Despite successful therapeutic reembolization of the afferent pulmonary artery, hemoptysis recurred 5 days later. At this time, recanalization of the pulmonary artery was not demonstrated by pulmonary angiography, but a systemic angiogram revealed a bronchial arterial supply to the pulmonary AVM. A systemic supply should always be sought in cases of recurrent hemoptysis after technically successful embolization of the feeding pulmonary artery.
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Citations

Wispelaere, J. F., Trigaux, J.-P., Weynants, P., Delos, M., & Coene, B. D. (1996). Systemic supply to a pulmonary arteriovenous malformation: potential explanation for recurrence. Cardiovascular and Interventional Radiology, 19(4), 285-287. https://doi.org/10.1007/BF02577652 (Original work published 1996)