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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Mandibular gingival arteriovenous malformation in pregnancy
R Sasaki1, T Okamoto, C Komiya
1Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, Graduate School of Medicine, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan. sasaki@oms.twmu.ac.jp
The British Journal of Oral & Maxillofacial Surgery
|May 27, 2008
Summary
Arteriovenous malformations (AVM) are rare in the mouth. This case study details a pregnant woman with a mandibular gingival AVM that worsened during pregnancy and resolved postpartum.
Area of Science:
- Oral and Maxillofacial Surgery
- Vascular Malformations
- Obstetrics
Background:
- Arteriovenous malformations (AVM) are uncommon in the oral and maxillofacial region.
- Pregnancy can influence the presentation and progression of vascular lesions.
Observation:
- A pregnant woman at 35 weeks' gestation presented with massive, pulsatile bleeding from a mandibular gingival mass.
- The bleeding was managed with local compression and cauterization.
- The mass regressed after delivery but recurred in a subsequent pregnancy.
Findings:
- The mandibular gingival AVM's progression was likely exacerbated by increased cardiac output during pregnancy.
- Hormonal and hemodynamic changes associated with pregnancy may contribute to AVM enlargement.
Implications:
- This case highlights the importance of considering pregnancy-related factors in the diagnosis and management of oral AVM.
- Understanding the influence of pregnancy on AVMs is crucial for appropriate patient care and monitoring.
- Further research is needed to elucidate the precise mechanisms linking pregnancy and AVM progression.
