scholarly journals Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Nidhi Sood ◽  
Nikhil Sood ◽  
Vibhu Dhawan
Keyword(s):  
Pregnant Woman ◽  
Arteriovenous Malformations ◽  
Previous History ◽  
Tube Placement ◽  
Pulmonary Arteriovenous Malformations ◽  
Pleuritic Chest Pain ◽  
Chest Tube Placement ◽  
Bleeding Vessel ◽  
Life Threatening ◽  
History Of

Pulmonary arteriovenous malformations (PAVMs), although most commonly congenital, are usually detected later in life. We present a case of a 25-year-old woman with no previous history of AVM or telangiectasia, who presented with life-threatening hypoxia, hypotension, and pleuritic chest pain in 36th week of gestation. Chest tube placement revealed 4 liters of blood. Patient was subsequently found to have bleeding pulmonary AVM as the source of hemothorax. Successful embolisation of the bleeding vessel followed by thoracoscopic evacuation of the organized clot relieved the hypoxia. Further screening for AVM revealed large splenic AVM for which patient underwent splenectomy in the coming months.

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

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Vincenzo Di Crescenzo ◽  
Filomena Napolitano ◽  
Alessandro Vatrella ◽  
Pio Zeppa ◽  
Paolo Laperuta
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Arteriovenous Malformations ◽  
Previous History ◽  
Tube Placement ◽  
Pulmonary Arteriovenous Malformations ◽  
Chest Tube Placement ◽  
Chest Computed Tomography ◽  
Lower Lung ◽  
History Of

AbstractPulmonary 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.

Multiple embolizations of pulmonary arteriovenous malformations during pregnancy

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Alexandria J. Hill ◽  
Caroline Martinello ◽  
Luis D. Pacheco ◽  
Rakesh B. Vadhera ◽  
Sunil K. Jain ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
High Risk ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
Arteriovenous Malformations ◽  
Pregnant Patient ◽  
Pulmonary Arteriovenous Malformations ◽  
Life Threatening ◽  
In Pregnancy

AbstractPulmonary arteriovenous malformations in a pregnant patient are rare and can cause deleterious, life-threatening complications. We report a patient with multiple pulmonary arteriovenous malformations, with the subsequent diagnosis of hereditary hemorrhagic telangiectasia, requiring multiple embolizations during pregnancy. Pulmonary arteriovenous malformations can carry a high risk of morbidity in the pregnant woman; however, they can be safely treated in pregnancy.

scholarly journals Massive haemorrhagic complications of ruptured pulmonary arteriovenous malformations: outcomes from a 12 years’ retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xu Ma ◽  
Bing Jie ◽  
Dong Yu ◽  
Ling-Ling Li ◽  
Sen Jiang
Keyword(s):  
Arteriovenous Malformations ◽  
Arterial Oxygen Saturation ◽  
Arterial Oxygen ◽  
Hereditary Haemorrhagic Telangiectasia ◽  
Pulmonary Arteriovenous Malformations ◽  
Imaging Data ◽  
Peripheral Lung ◽  
Life Threatening ◽  
The Mean

Abstract Background The life-threatening haemorrhagic complications of pulmonary arteriovenous malformations (PAVMs) are extremely rare, and only described in isolated cases. This study was designed to comprehensively investigate management of ruptured PAVMs. Methods We retrospectively assessed clinical and imaging data of ruptured PAVMs to summarize incidence, clinical characteristics, and outcomes following embolisation between January 2008 and January 2021. Results Eighteen of 406 (4.4%) patients with PAVMs developed haemorrhagic complications. Twelve of 18 patients were clinically diagnosed with hereditary haemorrhagic telangiectasia (HHT). Haemorrhagic complications occurred with no clear trigger in all cases. Eight of 18 patients (44.4%) were initially misdiagnosed or had undergone early ineffective treatment. 28 lesions were detected, with 89.3% of them located in peripheral lung. Computed tomography angiography (CTA) showed indirect signs to indicate ruptured PAVMs in all cases. Lower haemoglobin concentrations were associated with the diameter of afferent arteries in the ruptured lesions. Successful embolotherapy was achieved in all cases. After embolotherapy, arterial oxygen saturation improved and bleeding was controlled (P < 0.05). The mean follow-up time was 3.2 ± 2.5 years (range, 7 months to 10 years). Conclusions Life threatening haemorrhagic complications of PAVMs are rare, they usually occur without a trigger and can be easily misdiagnosed. HHT and larger size of afferent arteries are major risk factors of these complications. CTA is a useful tool for diagnosis and therapeutic guidance for ruptured PAVMs. Embolotherapy is an effective therapy for this life-threatening complication.

scholarly journals Unusual dyspnea in a hemodialysis patient: A case report

10.3823/2607 ◽  
2019 ◽  
Vol 12 ◽  
Author(s):  
Ching-Hsiang Wang ◽  
Jenq-Shyong Chan ◽  
Chung-Chi Yang ◽  
Po-Jen Hsiao
Keyword(s):  
Hemodialysis Patient ◽  
Pleural Cavity ◽  
Middle Age ◽  
Clinical Symptoms ◽  
Rapid Development ◽  
Previous History ◽  
Final Diagnosis ◽  
Spontaneous Hemothorax ◽  
Life Threatening ◽  
History Of

The typical clinical symptoms of hemothorax include a rapid development of chest pain or dyspnea, which may be life-threatening without immediate management. As we know, spontaneous hemothorax, a collection of blood within the pleural cavity without previous history of trauma or other cause, which usually onsets suddenly. The early and accurate diagnosis of spontaneous hemothorax is imperative in clinical practice. We reported a middle-age male undergoing regular hemodialysis was referred to our emergency department due to unknown cause of dyspnea and acute respiratory failure. Chest radiography revealed bilateral patchy infiltration of lung. Pleural tap analysis showed exudative pleural effusion with numerous red blood cells. Video-assisted thoracic surgery (VATS) were performed and confirmed the final diagnosis of spontaneous hemothorax. He was then successfully treated with the surgery of VATS combined chest tube thoracostomy.

scholarly journals Successful treatment of bilateral multiple pulmonary arteriovenous malformations in a patient with brain abscess and severe hypoxemia using a combination of transcatheter embolotherapy and surgical resection: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Takahiro Ochi ◽  
Masako Chiyo ◽  
Takamasa Ito ◽  
Hideharu Furumoto ◽  
Toshihiko Sugiura ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Brain Abscess ◽  
Surgical Resection ◽  
Arteriovenous Malformations ◽  
Pulmonary Arteriovenous Malformation ◽  
Positive Pressure ◽  
Pulmonary Arteriovenous Malformations ◽  
Severe Hypoxemia ◽  
History Of ◽  
The Brain

Abstract Background A pulmonary arteriovenous malformation is an abnormal dilated blood vessel that makes direct communication between a pulmonary artery and pulmonary vein and can be associated with hypoxemia or neurological complications, including brain abscess and cerebral infarction. Treatment of pulmonary arteriovenous malformation includes surgical resection and transcatheter embolotherapy, however the adaptation of therapies should be considered when a patient is in bad condition. Case presentation A 51-year-old man was admitted after developing fever, consciousness disorder, and hypoxemia. Magnetic resonance imaging of the brain showed a brain abscess. Bilateral pulmonary arteriovenous malformations were found by contrast computed tomography. Because of a family history of pulmonary arteriovenous malformation, a history of epistaxis, and the existence of oral mucosa telangiectasia, he was diagnosed with hereditary hemorrhagic telangiectasia and brain abscess caused by intrapulmonary right-to-left shunt. The brain abscess improved with antibiotic treatment; however, the administration of oxygen did not ameliorate his hypoxemia. His hypoxemia was exacerbated by positive pressure ventilation. Considering his systemic and respiratory condition, we considered surgery to involve a high degree of risk. After controlling his brain abscess and pneumonia, transcatheter embolotherapy was performed. This improved his systemic condition, enabling surgical treatment. Conclusions This middle-aged patient suffering from brain abscess and severe hypoxemia with multiple pulmonary arteriovenous malformations was successfully treated by a combination of transcatheter embolotherapy and surgery. The adaptation and combination of therapies, as well as the sequence of treatments, should be considered depending on the patient status and lesions.

scholarly journals Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm

2019 ◽  
Vol 6 (4) ◽  
pp. K19-K22
Author(s):  
Jonathan Hinton ◽  
George Hunter ◽  
Madhava Dissanayake ◽  
Rob Hatrick
Keyword(s):  
Myocardial Infarction ◽  
Pulmonary Edema ◽  
Previous History ◽  
Late Presentation ◽  
Left Ventricular ◽  
Inferior Wall ◽  
Life Threatening ◽  
History Of ◽  
Pseudo Aneurysm ◽  
Chest X Ray

Summary Pseudo-aneurysms are a rare, potentially life-threatening complication of a myocardial infarction. We present the case of a 45-year-old male who was brought to the emergency department in extremis and had a previous history of a late presentation inferior ST-elevation myocardial infarction treated percutaneously. Clinical examination revealed evidence of cardiogenic shock, pulmonary edema and a pulsatile epigastric mass. Chest X-ray demonstrated marked cardiomegaly and pulmonary edema. Urgent echocardiography confirmed the presence of a huge basal inferior wall pseudo-aneurysm with bi-directional flow. This was also associated with severe mitral regurgitation, due to posterior mitral annular involvement. The patient was transferred to the local cardiothoracic surgical unit where he underwent emergency repair of the pseudo-aneurysm and mitral valve replacement. Despite the surgery being complex he made a full recovery.

scholarly journals Acute Hepatitis due to Garcinia Cambogia Extract, an Herbal Weight Loss Supplement

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Akshay Sharma ◽  
Elisa Akagi ◽  
Aji Njie ◽  
Sachin Goyal ◽  
Camelia Arsene ◽  
...  
Keyword(s):  
Weight Loss ◽  
Acute Hepatitis ◽  
Previous History ◽  
Herbal Supplement ◽  
Drug Induced ◽  
Garcinia Cambogia ◽  
Drug Induced Liver Injury ◽  
Supplement Use ◽  
Life Threatening ◽  
History Of

The Drug Induced Liver Injury Network reports dietary supplements as one of the most important causes of drug induced hepatotoxicity, yet millions of people use these supplements without being aware of their potential life-threatening side effects. Garcinia cambogia (GC) extract is an herbal weight loss supplement, reported to cause fulminant hepatic failure. We present a case of a 57-year-old female with no previous history of liver disease, who presented with acute hepatitis due to GC extract taken for weight loss, which resolved after stopping it and got reaggravated on retaking it. Obtaining a history of herbal supplement use is critical in the evaluation of acute hepatitis.

scholarly journals Impetigo herpetiformis: an unknown dermatosis of pregnancy

2020 ◽  
Vol 6 (9) ◽  
pp. 364
Author(s):  
Afaf Khouna ◽  
Siham Dikhaye ◽  
Nada Zizi
Keyword(s):  
Pregnant Woman ◽  
Pustular Psoriasis ◽  
Impetigo Herpetiformis ◽  
Life Threatening ◽  
History Of ◽  
Therapeutic Problem

<p>Impetigo herpetiformis or pustular psoriasis of pregnancy is a rare dermatosis of pregnancy that typically starts in the second half of pregnancy and resolves postpartum. It can be life threatening for both mother and fetus and often causes therapeutic problem. We report a case of 37-year-old pregnant woman with history of generalized pustular lesions in the two previous pregnancies, presenting an impetigo herpetiformis during her third pregnancy, resolved one day after the delivery.</p>

scholarly journals Pericardial Tamponade And Lung Adenocarcinoma: Case Report And Literature Review

2020 ◽  
Vol 2 (3) ◽  
Author(s):  
Irene Lozano-Díez ◽  
María López-Rodríguez ◽  
Laia Cagide-González ◽  
José Antonio Díaz-Peromingo
Keyword(s):  
Pericardial Effusion ◽  
Lung Adenocarcinoma ◽  
Previous History ◽  
Pericardial Tamponade ◽  
Neoplastic Disease ◽  
Healthy Patient ◽  
Lung Cancers ◽  
Life Threatening ◽  
History Of ◽  
Recurrent Pericardial Effusion

Pericardial effusion is the accumulation of fluid between the layers of the pericardium. I massive, pericardial tamponade and compression of the myocardium are life threatening conditions. The causes of pericardial effusion are varied, from idiopathic, neoplasms, iatrogenesis, and autoimmune. Pericardial tamponade can be a complication of neoplastic disease. Malignancy must be ruled out in every cardiac tamponade. Malignant etiology must be considered in patients with previous history of malignancy, pericarditis that does not respond to anti-inflammatory treatment, pericardial effusion that increases its amount rapidly, or recurrent pericardial effusion. Metastatic pericardial effusion due to lung cancer is not rare but not all lung cancers involve the same way the pericardium. In this paper, we present the case of a previously healthy patient with pericardial tamponade as presentation form of a lung adenocarcinoma and review the literature.

scholarly journals A Case of Bradycardia and Hypersensitivity with Intravenous Ketamine Monotherapy

2021 ◽  
Vol 3 (2) ◽  
pp. 01-03
Author(s):  
Priyanka Mishra
Keyword(s):  
Emergency Department ◽  
Previous History ◽  
Atopic Disease ◽  
Medical Professionals ◽  
Hemodynamic Support ◽  
Advanced Airway ◽  
Life Threatening ◽  
History Of ◽  
Dose Dependent ◽  
Intravenous Ketamine

Anaphylaxis during anesthesia is an unforeseeable and potentially life threatening syndrome that is dose independent. Ketamine is a widely used hypnotic for procedural sedation in the emergency department, in anesthesia and intensive care units (ICU). It is popularly employed for both children and adult patients. Though, dose dependent adverse effects of ketamine have been described, the hypersensitive reactions with the same are extremely rare. We are hereby presenting a case of an allergic reaction and isolated bradycardia with ketamine, given as intravenous monotherapy in a patient with no previous history of atopic disease. Our article aims at reminding all the medical professionals to never let a drug (however commonly used) throw away caution, be vigilant to timely diagnose an adverse drug reaction (even the most infrequent and rare) and be prepared to tackle the worst with the necessary supportive measures like hemodynamic support and advanced airway procedures.

Sign in / Sign up

Export Citation Format

Share Document