Huge Pulmonary Arteriovenous Malformation, Venous Thromboembolism and Anticoagulation Treatment in a Patient with Hereditary Hemorrhagic Telangiectasia
| Autor: | Natalia Causada Calo, Ezequiel Levy Yeyati, Marcelo M. Serra, Diego Andresik, Martin Rabellino, Teresa Garcia-Botta, Bruno L. Ferreyro, Oscar Peralta, Ricardo García-Mónaco |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Anticoagulation Treatment Hypoxemia Arteriovenous Malformations Multidetector Computed Tomography Internal Medicine medicine Humans Right upper lobe Hypoxia Pulmonary arteriovenous malformation Telangiectasia Aged Cyanosis business.industry Incidence Anticoagulants Venous Thromboembolism General Medicine medicine.disease Embolization Therapeutic Pulmonary embolism Venous thrombosis Treatment Outcome Female Telangiectasia Hereditary Hemorrhagic Radiology medicine.symptom business Venous thromboembolism |
| Zdroj: | Internal Medicine. 54:2745-2748 |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | Hereditary hemorrhagic telangiectasia (HHT) usually presents in association with pulmonary arteriovenous malformations (PAVMs). In addition, the incidence of venous thromboembolism tends to be increased in these patients. A 74-year-old female with HHT presented with cyanosis and hypoxemia. Contrast-enhanced multislice computed tomography (MSCT) revealed two left PAVMs and one in the right upper lobe. Both left PAVMs were treated with embolotherapy. Follow-up MSCT revealed an incidental pulmonary embolism in the right pulmonary branches. Deep venous thrombosis was confirmed and anticoagulation was initiated. Follow-up MSCT revealed the resolution of thromboembolism. Finally, embolotherapy was performed. This case illustrates the chronic adaptation to hypoxemia and adds further evidence to the relative safety of anticoagulation treatment in these patients. |
| Databáze: | OpenAIRE |
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