Pulmonary arteriovenous malformationsm and follow-up imagings

An 85-year-old caucasian female with past medical history of hypertension, hyperlipidemia, polymyalgia rheumatica, coronary artery disease, Osler-Weber-Rendu syndrome (diagnosed 18 years ago), intermittent epistaxis and pulmonary arteriovenous malformation (AVM) was referred to the clinic for abnorm...

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Main Authors: Pahnwat Tonya Taweesedt, Salim Surani
Format: Article
Language:English
Published: The Pan African Medical Journal 2020-12-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/37/294/pdf/294.pdf
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author Pahnwat Tonya Taweesedt
Salim Surani
author_facet Pahnwat Tonya Taweesedt
Salim Surani
author_sort Pahnwat Tonya Taweesedt
collection DOAJ
description An 85-year-old caucasian female with past medical history of hypertension, hyperlipidemia, polymyalgia rheumatica, coronary artery disease, Osler-Weber-Rendu syndrome (diagnosed 18 years ago), intermittent epistaxis and pulmonary arteriovenous malformation (AVM) was referred to the clinic for abnormal chest imaging. She underwent multiple bilateral AVM embolization 17 years ago. She had minimal shortness of breath without epistaxis, hemoptysis, hematemesis or hematochezia. One month ago, her chest X-ray revealed multiple embolization coils bilaterally (A). Computed tomography (CT) chest scan without contrast showed multiple embolization coils, multiple tortuous vascular malformations in both lungs with enlargement of left lower lobe AVM (B). Magnetic resonance imaging (MRI) brain 17 years ago did not show brain vascular malformation. The diagnosis of progressive Osler-Weber-Rendu or hereditary hemorrhagic telangiectasia (HHT) was made. She was referred to HHT center and underwent coiling. After that, she has been clinically stable and a repeat CT chest on the follow-up visit showed smaller left lower lobe AVM (B), so conservative management was planned.
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spelling doaj.art-51936d8093664d7e9de3dfa533429c512022-12-21T20:00:07ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882020-12-013729410.11604/pamj.2020.37.294.2710027100Pulmonary arteriovenous malformationsm and follow-up imagingsPahnwat Tonya Taweesedt0Salim Surani1 Department of Pulmonary Medicine, Corpus Christi Medical Center, Texas, United States of America Texas A and M University, Texas, United States of America An 85-year-old caucasian female with past medical history of hypertension, hyperlipidemia, polymyalgia rheumatica, coronary artery disease, Osler-Weber-Rendu syndrome (diagnosed 18 years ago), intermittent epistaxis and pulmonary arteriovenous malformation (AVM) was referred to the clinic for abnormal chest imaging. She underwent multiple bilateral AVM embolization 17 years ago. She had minimal shortness of breath without epistaxis, hemoptysis, hematemesis or hematochezia. One month ago, her chest X-ray revealed multiple embolization coils bilaterally (A). Computed tomography (CT) chest scan without contrast showed multiple embolization coils, multiple tortuous vascular malformations in both lungs with enlargement of left lower lobe AVM (B). Magnetic resonance imaging (MRI) brain 17 years ago did not show brain vascular malformation. The diagnosis of progressive Osler-Weber-Rendu or hereditary hemorrhagic telangiectasia (HHT) was made. She was referred to HHT center and underwent coiling. After that, she has been clinically stable and a repeat CT chest on the follow-up visit showed smaller left lower lobe AVM (B), so conservative management was planned. https://www.panafrican-med-journal.com/content/article/37/294/pdf/294.pdf pulmonary arteriovenous malformationosler-weber-rendu syndromehereditary hemorrhagic telangiectasia
spellingShingle Pahnwat Tonya Taweesedt
Salim Surani
Pulmonary arteriovenous malformationsm and follow-up imagings
The Pan African Medical Journal
pulmonary arteriovenous malformation
osler-weber-rendu syndrome
hereditary hemorrhagic telangiectasia
title Pulmonary arteriovenous malformationsm and follow-up imagings
title_full Pulmonary arteriovenous malformationsm and follow-up imagings
title_fullStr Pulmonary arteriovenous malformationsm and follow-up imagings
title_full_unstemmed Pulmonary arteriovenous malformationsm and follow-up imagings
title_short Pulmonary arteriovenous malformationsm and follow-up imagings
title_sort pulmonary arteriovenous malformationsm and follow up imagings
topic pulmonary arteriovenous malformation
osler-weber-rendu syndrome
hereditary hemorrhagic telangiectasia
url https://www.panafrican-med-journal.com/content/article/37/294/pdf/294.pdf
work_keys_str_mv AT pahnwattonyataweesedt pulmonaryarteriovenousmalformationsmandfollowupimagings
AT salimsurani pulmonaryarteriovenousmalformationsmandfollowupimagings