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Life-threatening hemothorax due to rupture of pulmonary arteriovenous malformation during pregnancy

Yeon Soo Kim1

  • 1Department of Thoracic and Cardiovascular Surgery, Inje University Ilsan Paik Hospital, 170 Juwha-ro, Ilsansu-gu, Goyang-si, Gyeonsgi-Do, 10380, South Korea.

Journal of Surgical Case Reports
|March 13, 2024
PubMed

Pulmonary arteriovenous malformation (PAVM) can worsen in pregnant women due to pregnancy-related physiological changes. If a PAVM ruptures, it can become life-threatening. A 24-year-old female patient at 22 weeks of gestation presented to the hospital with chest pain and dyspnea. A simple chest radiograph revealed that the right lung was almost completely collapsed due to massive pleural effusion, and the heart was displaced to the opposite side. Closed thoracostomy was performed and 2 l of blood was drained. Chest CT revealed the presence of a PAVM in the right upper lung. Emergency surgery was performed to resect the PAVM through thoracoscopic pulmonary wedge resection. The patient experienced disseminated intravascular coagulation and acute renal insufficiency after the surgery, but eventually recovered and was discharged without any complications on the sixth postoperative day.

Keywords:
hemothoraxpregnancypulmonary arteriovenous malformationvideo-assisted thoracic surgery

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