A Case of a Pulmonary Arteriovenous Malformation With Ebstein's Anomaly.
10.4070/kcj.2010.40.12.684
- Author:
Kwonoh PARK
1
;
Changhwan KIM
;
Dal Soo LIM
;
Young Moo RO
;
Jongwon PARK
;
Seungyun CHUN
;
Seungjin LIM
;
Hyunjung CHO
;
Sangho LEE
;
Sung Eun KIM
Author Information
1. Department of Internal Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Arteriovenous malformation ration;
Lung;
Telangiectasia, hereditary hemorrhagic;
Ebstein anomaly
- MeSH:
Adult;
Angiography;
Arteriovenous Malformations;
Dyspnea;
Ebstein Anomaly;
Echocardiography;
Epistaxis;
Female;
Humans;
Liver;
Lung;
Telangiectasia, Hereditary Hemorrhagic;
Thorax
- From:Korean Circulation Journal
2010;40(12):684-686
- CountryRepublic of Korea
- Language:English
-
Abstract:
A pulmonary arteriovenous malformation (PAVM) is a rare pulmonary vascular anomaly presenting as dyspnea or recurrent epistaxis. Ebstein's anomaly (EA), a congenital cardiac malformation, is also a rare condition. There have been no reports concerning the co-existence of PAVM with hereditary hemorrhagic telangiectasia (HHT) and EA. A 40-year-old woman was admitted with a 2-month history of increasing dyspnea and several years of recurrent epistaxis. On transthoracic echocardiography, she was diagnosed with EA and agreed to undergo surgical treatment. A chest CT angiography showed a 12-mm serpiginous vascular structure suspicious for a PAVM and a liver CT suggested HTT. Although it is unclear whether or not a concurrent PAVM and EA have an embryologic or genetic relationship, we report a case of a PAVM with EA. Further genetic and embryonic studies are needed to identify a possible relationship of the two medical conditions.