Systemic supply to a pulmonary arteriovenous malformation: potential explanation for recurrence.
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.
Wispelaere
J F
JF
Department of Radiology, Cliniques Universitaires UCL de Mont-Godinne, B-5530 Yvoir, Belgium.
Trigaux
J P
JP
Weynants
P
P
Delos
M
M
Coene
B D
BD
D000328:Adult; D001165:Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D001981:Bronchial Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D005260:Female; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011651:Pulmonary Artery / Q000002:abnormalities*; D011667:Pulmonary Veins / Q000002:abnormalities*; D011859:Radiography; D012008:Recurrence; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications