PULMONARY ARTERIOVENOUS MALFORMATION WITH HEMOPTYSIS IN OSLER RENDU WEBER DISEASE – SUCCESSFUL TREATMENT BY ENDOVASCULAR COILING

Rajesh V. MD, *Jolsana Augustine DNB, Manisha Joshi DM and Divya R. MD

ABSTRACT

Hemoptysis is a common presenting symptom in pulmonary practice and the differentials include chronic bronchitis in smokers, tuberculosis, carcinoma lung, coagulation abnormalities and arteriovenous malformations. Pulmonary arteriovenous malformations are uncommon but important cause of hemoptysis which require prompt recognition and appropriate management measures. We present the case of a 20 year old gentleman who presented with hemoptysis and epistaxis, who on further evaluation had features of Osler Rendu Weber disease and a left upper lobe pulmonary arteriovenous malformation. Since the hemoptysis persisted despite conservative measures, successful treatment of the vascular lesion could be achieved with endovascular coil occlusion of the affected vessel.

Keywords: Hereditary hemorrhagic telangiectasia, pulmonary arteriovenous malformation, vascular coiling.