A Case of the Bronchial Artery-Pulmonary Vein Malformation.

Yoo, Tae Seok; Jo, Young Il; Heo, Weon Man; Jin, Choon Jo; Song, Kwang Seon; Yong, Suk Joong; Shin, Kye Chul

doi:1995.42.5.767

Tuberc Respir Dis > Volume 42(5); 1995 > Article

Case Report

Tuberculosis and Respiratory Diseases 1995;42(5):767-771.
DOI: https://doi.org/10.4046/trd.1995.42.5.767 Published online October 1, 1995.

A Case of the Bronchial Artery-Pulmonary Vein Malformation.

Tae Seok Yoo, Young Il Jo, Weon Man Heo, Choon Jo Jin, Kwang Seon Song, Suk Joong Yong, Kye Chul Shin

¹Department of Internal Medicine, College of Medicine, Konkuk University, Seoul, Korea.
²Department of Internal Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.

Abstract

The bronchial artery-pulmonary vein malformation should be called the systemic artery-to- pulmonary vein arterioveonus malformation in the lung. Although pulmonary arteriovenous malformation has been well documented in intrapulmonary arteriovenous malformation, the systemic artery-to-pulmonary vein arteriovenous malformation is rare. Most patients with systemic artery-to-pulmonary vein arteriovenous malformation is asymptomatic and the diagnosis of these anomaly may be done by continuous murmur or abnormal chest X-ray on the physical examination. The pathogenesis of this condition is congenital malformation which explains these anastomoses between the pulmonary vein and accessory brochial arteries and acquired malformation which explains development of new blood vessel to supply large enough to cause significant systemic-pulmonary shunts due to inflammation secondary to infection, trauma, or previous surgery. We experienced a case of the bronchial artery-pulmonary vein malformation which was detected on angiography in 20-year-old women whose chief complain is hemoptysis. This massive hemoptysis was controlled by selective brochial artery embolization with Gelfoam and Ivalon particles.

Key Words: Arteriovenous malformation, Angiography, Bronchial artery embolization