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Title: Pulmonary arteriovenous malformation causing massive haemoptysis and complicated by coronary air embolism.
Austin 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
Publication information: 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.
Gov't Doc #: 16494154
Journal: Anaesthesia and Intensive Care
Type: Journal Article
Subjects: Abnormalities, Multiple.diagnosis.therapy
Arteriovenous Malformations.complications.radiography.therapy
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
Pulmonary Artery.abnormalities
Risk Assessment
Severity of Illness Index
Telangiectasia, Hereditary Hemorrhagic.complications.diagnosis.therapy
Appears in Collections:Journal articles

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