Document Detail


Complicated Congenital Gluteal Arteriovenous Malformation With Hemorrhage in Pregnancy.
MedLine Citation:
PMID:  23706181     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Extracranial congenital arteriovenous malformations (AVMs) are rare clinical entities that can be progressive in nature. The influence of pregnancy on lesion progression has been discussed in the past. This report presents an unusual case of 23-year-old primigravida woman who presented at 36 weeks' gestation with complicated necrotic ulceration and hemorrhage of the right gluteal region. A hyperpigmented mark with varicosities was initially noted at birth, but during pregnancy it showed remarkable progression and was first identified as an AVM. After hemorrhage control and induced delivery, the lesion was successfully treated with several embolizations. Complete wound healing was achieved, but because of partial recurrence at 3 years, repeat embolization was performed, with satisfactory clinical improvement and residual 25% arteriovenous shunting on transarterial lung perfusion scintigraphy study. AVM complications during pregnancy are uncommon, and this case supports the prior opinion that pregnancy can stimulate lesion progression. Especially in undiagnosed and previously untreated cases, this can lead to life-threatening complications for the mother and fetus. Long-term lesion management usually requires combined endovascular and surgical treatment.
Authors:
Birutė Vaišnytė; Donatas Vajauskas; Darius Palionis; Daiva Nevidomskytė; Nerijus Misonis; Valdas Bilkis; Mykolas Sučila; Marijus Gutauskas
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-5-22
Journal Detail:
Title:  Annals of vascular surgery     Volume:  -     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-5-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Elsevier Inc. All rights reserved.
Affiliation:
Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania; Center of Reconstructive and Endovascular Surgery, Department of Vascular Surgery, Vilnius, Lithuania; Vilnius University Hospital Santariškių klinikos, Vilnius, Lithuania. Electronic address: birute.vaisnyte@santa.lt.
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