Pulmonary Arteriovenous Malformations

نویسنده

  • Calvin SH NG
چکیده

HKJGOM 2011; 11 (1) 67 Introduction Pulmonary arteriovenous malformations (PAVMs) are rare vascular disorders known to produce life-threatening complications, including haemoptysis, intrapleural haemorrhage, stroke, brain abscess, and hypoxaemia. Since its first description by Churton in 18971, more than 500 cases have been reported in the literature2. Pregnancy and PAVM are strongly linked with adverse outcomes, due to an increased risk of complications3-8. Management dilemmas arise from concerns about fetal radiation exposure from both diagnostic and therapeutic procedures involving ionising radiation. Furthermore, the ideal treatment modality for this condition during pregnancy is unclear. Surgery has traditionally been regarded as the treatment of choice and is potentially life saving in cases complicated by pulmonary haemorrhage. More recently, in selected cases, transcatheter embolotherapy (TCE) has demonstrated impressive initial results. In this review, Correspondence to: Dr Calvin SH Ng Email: [email protected] Pulmonary Haemorrhage from Arteriovenous Malformations: Implications and Management in Pregnancy

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تاریخ انتشار 2011