Document Detail


Mandibular arteriovenous malformation in pregnancy.
MedLine Citation:
PMID:  9605249     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Benign vascular lesions, such as hemangiomas of childhood, arteriovenous malformations (AVMs) and venous malformations, are uncommon and have been found in a variety of organs throughout the body. Vascular lesions of bone are found most often in the vertebral column. Vascular tumors of the mandible are rare. We report a case of a mandibular AVM found in a pregnant woman at 35 weeks' gestation. A pregnant woman presented at 35 weeks' gestation with right-sided jaw pain and was found to have a pulsatile mass on the internal surface of the right mandible in the area of the premolars. Profuse bleeding of the lesion required emergent selective arterial embolization of a vascular tumor of the mandible, which resulted in successful occlusion of the vessels. Uncomplicated vaginal delivery followed induction of labor. Excision and reconstructive surgery occurred 1 week postembolization. Pathology confirmed an AVM. Mandibular AVMs are rare vascular tumors that, when correctly diagnosed, can be successfully managed during pregnancy. Whether or not vascular or hormonal changes associated with pregnancy can exacerbate a preexisting AVM is debatable.
Authors:
M J McMahon; W F Hansen; A T O'Meara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  14     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-07-22     Completed Date:  1998-07-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  619-21     Citation Subset:  IM    
Affiliation:
University of North Carolina at Chapel Hill, School of Medicine, Department of Obstetrics and Gynecology, 27599-7570, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteriovenous Malformations / complications*
Female
Humans
Mandible / blood supply*
Pregnancy
Pregnancy Complications, Cardiovascular*

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