Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery

Pulmonary Arteriovenous Malformation (AVM) Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery

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Pulmonary arteriovenous malformations (PAVMs), although most commonly congenital, are usually detected later in life.We present a case of a 25-year-old woman with no previous history of AVM or telangiectasia, who presented with life-threatening hypoxia, hypotension, and soderhamn ottoman cover pleuritic chest pain in 36th week of gestation.Chest tube placement revealed 4 liters of blood.Patient was subsequently found to have bleeding pulmonary AVM as the source of hemothorax.

Successful embolisation of the bleeding vessel followed by thoracoscopic evacuation iphone 14 price arizona of the organized clot relieved the hypoxia.Further screening for AVM revealed large splenic AVM for which patient underwent splenectomy in the coming months.