Hereditary Hemorrhagic Telangiectasia with Atypical Pulmonary Arteriovenous Malformation during Advanced Pregnancy - A Case Report
We described a case of a new, atypical pulmonary arteriovenous malformation (AVM) during advanced pregnancy, in a previously well screened woman with known hereditary hemorrhagic telangiectasia (HHT) and a remote history of pulmonary AVM embolization. A 29-year old woman, gravida 3, para 2, at 35 weeks' gestation was admitted following a first episode of massive hemoptysis. Pulmonary angiography confirmed newly dilated venous aneurysm proximal to the previous embolization material, and with marked arteriovenous shunting. The feeding artery was selected and embolized. An uncomplicated vaginal delivery ensued, and an AVM involution was noted at 3 months' postpartum.
Shimrit Yaniv-Salem, Yaniv Zipori*, Vikramaditya Prabhudesai, Marie E. Faughnan, Howard Berger and Michael Geary