Endovascular Management of Massive Hemoptysis Secondary to Systemic Collaterals in Previously Treated Pulmonary Arteriovenous Malformation. (November 2019)

• Record Type: Journal Article
• Authors: Gorsi, Ujjwal; Bansal, Akash; Jugpal, Tejeshwar Singh; Chaluvashetty, Sreedhara Bettadahally; Sandhu, Manavjit Singh
• Is Part Of: Vascular & endovascular surgery. Volume 53:Number 8(2019)
• Page Start: 674
• Page End: 678
• Publication Date: 2019-11
• Subjects: pulmonary arteriovenous malformation -- hereditary hemorrhagic telangiectasia -- systemic collaterals -- vascular plug -- coils; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574419870433
• Languages: English
• ISSNs: 1538-5744

Abstract

Pulmonary arteriovenous malformations (PAVMs) are abnormal connections between pulmonary artery and vein through a thin-walled aneurysmal sac, leading to a right-to-left shunt. These are commonly associated with hereditary hemorrhagic telangiectasia, and treatment guidelines have been set on how to approach their management. Incorrect proximal placement of an embolization device can lead to delayed recruitment of systemic collaterals leading to presentation with hemoptysis. We are presenting a case of a 17-year-old male with treated PAVMs and with fresh hemoptysis. In this case report, we attempt to explain the management of such a complication and follow the principles of arteriovenous malformation embolization on the left side.