Document Detail

Hereditary telangiectasia and multiple pulmonary arteriovenous fistulas. Clinical deterioration during pregnancy.
MedLine Citation:
PMID:  3948561     Owner:  NLM     Status:  MEDLINE    
We describe the effect of pregnancy on a woman with multiple pulmonary arteriovenous fistula. Pregnancy was terminated at 35 weeks' gestation because of severe hypoxemia. During the early postpartum period, the intrapulmonary shunt fraction enlarged, and hypoxemia worsened, necessitating emergency resection of the A-V fistula. Pregnancy may increase the intrapulmonary shunt fraction in patients with multiple pulmonary arteriovenous fistula through its effect on plasma volume and produce life-threatening hypoxemia near term or in the early postpartum period.
A J Swinburne; A J Fedullo; R Gangemi; J A Mijangos
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  89     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1986 Mar 
Date Detail:
Created Date:  1986-04-08     Completed Date:  1986-04-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  459-60     Citation Subset:  AIM; IM    
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MeSH Terms
Anoxia / etiology,  surgery
Arteriovenous Fistula / genetics,  surgery*
Pregnancy Complications, Cardiovascular / genetics,  surgery*
Pulmonary Artery / surgery
Pulmonary Veins / surgery
Telangiectasia, Hereditary Hemorrhagic / genetics,  surgery*

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