Traumatic pulmonary arteriovenous malformation presenting with massive hemoptysis 30 years after penetrating chest injury

• Published in: The Annals of thoracic surgery Vol. 76; no. 3; pp. 942 - 944
• Main Authors: Manganas, Con, Iliopoulos, Jim, Pang, Leo, Grant, Peter W
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-09-2003; Elsevier Science
• Subjects: Adult; Arteriovenous Malformations - complications; Biological and medical sciences; Foreign Bodies - complications; Hemoptysis - etiology; Humans; Male; Medical sciences; Pulmonary Artery - abnormalities; Pulmonary Veins - abnormalities; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the respiratory system; Thoracic Injuries - complications; Time Factors; Wounds, Gunshot - complications; 11; Human; Lung disease; Pathophysiology; Respiratory disease; Treatment efficiency; Cardiovascular disease; Congenital disease; Hemorrhage; Waiting time; Trauma; Bronchopulmonary; Emergency procedure; Vascular disease; Case study; Hemoptysis; Treatment; Surgery; Bronchus disease; Embolization; Foreign body; Diagnosis; Lobectomy; Arteriovenous malformation
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/S0003-4975(03)00527-7

A 39-year-old man presented with massive hemoptysis requiring emergency double lumen endobronchial intubation, bronchial arteriography and embolization, and subsequent right lower lobectomy. He had suffered a shrapnel blast injury to the right chest as a 9-year-old boy. Pathology of the resected specimen revealed lodged metallic foreign body with traumatic arteriovenous malformation. We present this case to alert thoracic surgeons to this extremely rare clinical entity that can present itself many years after the penetrating trauma, which requires urgent surgery.