Pulmonary arteriovenous fistula ruptured to pleural cavity in pregnancy.
Congenital pulmonary arteriovenous fistula is frequently associated with hereditary haemorrhagic telangiectasia (Rendu-Osler-Weber disease). With the increased blood flow in pregnancy such fistulas enlarge, occasionally giving rise to haemothorax, which generally has a poor prognosis. A familial case is presented in which massive haemothorax required emergency thoracotomy in the 27th week of pregnancy.
Freixinet
J
J
Department of Thoracic Surgery, Hospital Insular de Gran Canaria, Canary Islands, Spain.
Sanchez-Palacios
M
M
Guerrero
D
D
Rodriguez de Castro
F
F
Gonzalez
D
D
Lopez
L
L
Guerra
M
M
D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications* / Q000151:congenital* / Q000601:surgery; D002585:Cesarean Section; D005260:Female; D006491:Hemothorax / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000503:physiopathology*; D011262:Pregnancy Trimester, Second; D011651:Pulmonary Artery / Q000002:abnormalities*; D011667:Pulmonary Veins / Q000002:abnormalities*; D012422:Rupture, Spontaneous; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed