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Published in: Journal of Medical Case Reports 1/2022

Open Access 01-12-2022 | Computed Tomography | Case report

Acquired pulmonary arteriovenous malformation associated with bronchiectasis: a case report

Authors: Yasutaka Kawasaki, Masafumi Nojiri, Taku Oikawa, Kazuaki Nishiki, Keisuke Nakase, Yutaka Takahara, Shiro Mizuno

Published in: Journal of Medical Case Reports | Issue 1/2022

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Abstract

Background

Pulmonary arteriovenous malformations are mostly caused by congenitally abnormal shunts between pulmonary arteries and pulmonary veins.

Case presentation

A 74-year-old Japanese woman with a history of bronchiectasis was admitted to our hospital because of dyspnea on exertion. Pulmonary angiography and reconstructed three-dimensional contrast-enhanced computed tomography images showed shunts between pulmonary arteries and pulmonary veins, indicating a diagnosis of pulmonary arteriovenous malformations. Coil embolization of the shunts was successful.

Conclusions

Our findings imply that bronchiectasis can cause pulmonary arteriovenous malformations, and thus patients who present with hypoxemia with bronchiectasis should be carefully evaluated.
Literature
1.
go back to reference West JB. Ventilation-perfusion relationships. In: West JB, Luks AM, editors. West’s respiratory physiology: the essentials. 10th ed. Philadelphia: Wolters Kluwer; 2016. p. 63–86. West JB. Ventilation-perfusion relationships. In: West JB, Luks AM, editors. West’s respiratory physiology: the essentials. 10th ed. Philadelphia: Wolters Kluwer; 2016. p. 63–86.
2.
go back to reference Nakayama M, Nawa T, Chonan T, et al. Prevalence of pulmonary arteriovenous malformations as estimated by low-dose thoracic CT screening. Intern Med. 2012;51:1677–81.CrossRef Nakayama M, Nawa T, Chonan T, et al. Prevalence of pulmonary arteriovenous malformations as estimated by low-dose thoracic CT screening. Intern Med. 2012;51:1677–81.CrossRef
3.
go back to reference Shovlin CL. Pulmonary arteriovenous malformations. Am J Respir Crit Care Med. 2014;190:1217–28.CrossRef Shovlin CL. Pulmonary arteriovenous malformations. Am J Respir Crit Care Med. 2014;190:1217–28.CrossRef
4.
go back to reference Gossage JR, Kanji G. Pulmonary arteriovenous malformations. Am J Respir Crit Care Med. 1998;158:643–61.CrossRef Gossage JR, Kanji G. Pulmonary arteriovenous malformations. Am J Respir Crit Care Med. 1998;158:643–61.CrossRef
5.
go back to reference Shovlin CL, Guttmacher AE, Buscarini E, et al. Diagnostic criteria for hereditary hemorrhagic telangiectasia (Rendu–Osler–Weber syndrome). Am J Med Genet. 2000;91:66–7.CrossRef Shovlin CL, Guttmacher AE, Buscarini E, et al. Diagnostic criteria for hereditary hemorrhagic telangiectasia (Rendu–Osler–Weber syndrome). Am J Med Genet. 2000;91:66–7.CrossRef
6.
go back to reference Rydell R, Hoffbauer FW. Multiple pulmonary arteriovenous fistulas in juvenile cirrhosis. Am J Med. 1956;21:450–60.CrossRef Rydell R, Hoffbauer FW. Multiple pulmonary arteriovenous fistulas in juvenile cirrhosis. Am J Med. 1956;21:450–60.CrossRef
7.
go back to reference Prager RL, Laws KH, Bender HW. Arteriovenous fistula of the lung. Ann Thorac Surg. 1983;36:231–9.CrossRef Prager RL, Laws KH, Bender HW. Arteriovenous fistula of the lung. Ann Thorac Surg. 1983;36:231–9.CrossRef
8.
go back to reference Pierce JA, Reagan WP, Kimball RW. Unusual cases of pulmonary arteriovenous fistulas with a note on thyroid carcinoma as a cause. N Engl J Med. 1959;260:901–7.CrossRef Pierce JA, Reagan WP, Kimball RW. Unusual cases of pulmonary arteriovenous fistulas with a note on thyroid carcinoma as a cause. N Engl J Med. 1959;260:901–7.CrossRef
9.
go back to reference Vorselaars VMM, Hosman AE, Westermann CJJ, et al. Pulmonary arterial hypertension and hereditary haemorrhagic telangiectasia. Int J Mol Sci. 2018;19:3203.CrossRef Vorselaars VMM, Hosman AE, Westermann CJJ, et al. Pulmonary arterial hypertension and hereditary haemorrhagic telangiectasia. Int J Mol Sci. 2018;19:3203.CrossRef
10.
go back to reference Raevens S, Geerts A, Van Steenkiste C, Verhelst X, Van Vlierberghe H, Colle I. Hepatopulmonary syndrome and portopulmonary hypertension: recent knowledge in pathogenesis and overview of clinical assessment. Liver Int. 2015;35:1646–60.CrossRef Raevens S, Geerts A, Van Steenkiste C, Verhelst X, Van Vlierberghe H, Colle I. Hepatopulmonary syndrome and portopulmonary hypertension: recent knowledge in pathogenesis and overview of clinical assessment. Liver Int. 2015;35:1646–60.CrossRef
11.
go back to reference Thomas R, Christopher DJ, Chacko J, Ponnaiya J. Pulmonary arteriovenous malformation in a patient with tuberculosis—an association? Eur J Cardiothorac Surg. 2006;30:405–7.CrossRef Thomas R, Christopher DJ, Chacko J, Ponnaiya J. Pulmonary arteriovenous malformation in a patient with tuberculosis—an association? Eur J Cardiothorac Surg. 2006;30:405–7.CrossRef
12.
go back to reference Meek ME, Meek JC, Beheshti MV. Management of pulmonary arteriovenous malformations. Semin Intervent Radiol. 2011;28:24–31.CrossRef Meek ME, Meek JC, Beheshti MV. Management of pulmonary arteriovenous malformations. Semin Intervent Radiol. 2011;28:24–31.CrossRef
13.
go back to reference Shovlin CL, Condliffe R, Donaldson JW, Kiely DG, Wort SJ, British Thoracic Society. British Thoracic Society clinical statement on pulmonary arteriovenous malformations. Thorax. 2017;72:1154–63.CrossRef Shovlin CL, Condliffe R, Donaldson JW, Kiely DG, Wort SJ, British Thoracic Society. British Thoracic Society clinical statement on pulmonary arteriovenous malformations. Thorax. 2017;72:1154–63.CrossRef
Metadata
Title
Acquired pulmonary arteriovenous malformation associated with bronchiectasis: a case report
Authors
Yasutaka Kawasaki
Masafumi Nojiri
Taku Oikawa
Kazuaki Nishiki
Keisuke Nakase
Yutaka Takahara
Shiro Mizuno
Publication date
01-12-2022

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