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|Title:||Pulmonary arteriovenous malformation causing massive haemoptysis and complicated by coronary air embolism.|
|Authors:||Loke, G P Y;Story, David A;Liskaser, F;Seevanayagam, Sievn|
|Affiliation:||Department of Anaesthesia, Austin Health, Heidelberg, Victoria.|
|Citation:||Anaesthesia and Intensive Care; 34(1): 75-8|
|Abstract:||We report the case of a 20-year-old man with possible Osler-Rendu-Weber syndrome (hereditary haemorrhagic telangiectasia) who developed an episode of massive haemoptysis from a bleeding pulmonary arteriovenous malformation in the left lower lobe of his lung. During the acute haemorrhage, he also appeared to suffer a coronary air embolism, possibly due to introduction of air into the bleeding arteriovenous malformation during intermittent positive pressure ventilation through the endotracheal tube. His electrocardiogram showed extensive ST elevation (>2 mm) in the inferolateral leads associated with raised troponin I and creatine kinase levels. These changes resolved within thirty minutes. The pulmonary arteriovenous malformation was successfully treated with a combination of alcohol injection and coil embolization.|
|Internal ID Number:||16494154|
Combined Modality Therapy
Severity of Illness Index
Telangiectasia, Hereditary Hemorrhagic.complications.diagnosis.therapy
|Appears in Collections:||Journal articles|
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