Acute chest pain and tamponading left hemothorax: An unusual presentation of pulmonary arteriovenous malformation Ira R.A. Goldsmith, MD, FRCS CTh, Ihab.

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Presentation transcript:

Acute chest pain and tamponading left hemothorax: An unusual presentation of pulmonary arteriovenous malformation Ira R.A. Goldsmith, MD, FRCS CTh, Ihab Ali, MBBS, MRCS, Afzal Zaidi, MA, FRCS CTh The Journal of Thoracic and Cardiovascular Surgery Volume 141, Issue 3, Pages 833-834 (March 2011) DOI: 10.1016/j.jtcvs.2010.12.007 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Contrast computed tomographic scan at the left atrium level showing a high-density lesion (arrow), indicating a pulmonary arteriovenous malformation. The mediastinum has shifted to the right owing to a large left pleural collection. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 833-834DOI: (10.1016/j.jtcvs.2010.12.007) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Coronal section of the chest computed tomographic scan shows a second contrast enhancing lesion (red arrow) in the right lung. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 833-834DOI: (10.1016/j.jtcvs.2010.12.007) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Pulmonary arteriovenous malformation arising from the lower lobe of the left lung. The bleeding tip of the malformation had sealed itself, whereas blood was seen swirling around in the malformation. D, Diaphragm; L, lateral chest wall; M, mediastinum. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 833-834DOI: (10.1016/j.jtcvs.2010.12.007) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Resected left lower lobe pulmonary arteriovenous malformation. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 833-834DOI: (10.1016/j.jtcvs.2010.12.007) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions