Hemoptysis from an unusual pulmonary arteriovenous malformation.
We report the case of a 64-year-old woman who presented with massive hemoptysis. She was found to be bleeding from a pulmonary arteriovenous malformation in the right middle lobe, which had a peculiar blood supply from the right internal mammary artery. Video-assisted thoracic surgery lobectomy was successfully performed for this condition. Limitations of embolization as a treatment modality for this condition are discussed.
Thung
Kin Hoi
KH
Department of Surgery, Division of Cardiothoracic Surgery, Chinese University of Hong Kong, Shatin, Hong Kong, China.
Sihoe
Alan D L
AD
Wan
Innes Y P
IY
Lee
Tak Wai
TW
Wong
Randolph
R
Yim
Anthony P C
AP
D000792:Angiography / Q000379:methods; D001165:Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001707:Biopsy, Needle; D005260:Female; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D007150:Immunohistochemistry; D008171:Lung Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000473:pathology; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000473:pathology; D013902:Radiography, Thoracic; D018570:Risk Assessment; D012720:Severity of Illness Index; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D016896:Treatment Outcome