Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10098
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.
Issue Date: 1-Feb-2006
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
URI: http://ahro.austin.org.au/austinjspui/handle/1/10098
URL: http://www.ncbi.nlm.nih.gov/pubmed/16494154
Type: Journal Article
Subjects: Abnormalities, Multiple.diagnosis.therapy
Adult
Arteriovenous Malformations.complications.radiography.therapy
Bronchoscopy
Combined Modality Therapy
Coronary Angiography
Coronary Thrombosis.complications.diagnosis.therapy
Critical Illness
Echocardiography, Transesophageal
Embolism, Air.complications.diagnosis.therapy
Embolization, Therapeutic.methods
Follow-Up Studies
Hemoptysis.complications.diagnosis.therapy
Humans
Male
Pulmonary Artery.abnormalities
Risk Assessment
Severity of Illness Index
Telangiectasia, Hereditary Hemorrhagic.complications.diagnosis.therapy
Appears in Collections:Journal articles

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