eMedicine Specialties > Radiology > Chest

Lung, Arteriovenous Malformation: Multimedia

Author: Sat Sharma, MD, FRCP(C), FCCP, FACP, DABSM, Program Director, Associate Professor, Department of Internal Medicine, Divisions of Pulmonary and Critical Care Medicine, University of Manitoba; Site Director of Respiratory Medicine, St Boniface General Hospital
Coauthor(s): Krantikumar Rathod, MD, Lecturer, Section of Vascular and Interventional Radiology, Department of Radiology, KEM Hospital, Parel, Mumbai, India; Bruce Maycher, MD, Director of Pulmonary Radiology, St Boniface General Hospital; Associate Professor, Department of Radiology, University of Manitoba
Contributor Information and Disclosures

Updated: Oct 22, 2007

Multimedia

Gross anatomy of a large pulmonary arteriovenous ...
(Enlarge Image)
Media file 1: Gross anatomy of a large pulmonary arteriovenous malformation.
[ CLOSE WINDOW ]
Gross anatomy of a large pulmonary arteriovenous ...

Gross anatomy of a large pulmonary arteriovenous malformation.

Pulmonary arteriovenous malformations in the left...
(Enlarge Image)
Media file 2: Pulmonary arteriovenous malformations in the left lower lobe were treated with coil embolization.
[ CLOSE WINDOW ]
Pulmonary arteriovenous malformations in the left...

Pulmonary arteriovenous malformations in the left lower lobe were treated with coil embolization.

Close-up view of Image 2. Lateral chest radiograp...
(Enlarge Image)
Media file 3: Close-up view of Image 2. Lateral chest radiograph shows a pulmonary arteriovenous malformation in the left lower lobe that was occluded with coil embolization.
[ CLOSE WINDOW ]
Close-up view of Image 2. Lateral chest radiograp...

Close-up view of Image 2. Lateral chest radiograph shows a pulmonary arteriovenous malformation in the left lower lobe that was occluded with coil embolization.

A small pulmonary arteriovenous malformation is d...
(Enlarge Image)
Media file 4: A small pulmonary arteriovenous malformation is depicted in the left lower lobe.
[ CLOSE WINDOW ]
A small pulmonary arteriovenous malformation is d...

A small pulmonary arteriovenous malformation is depicted in the left lower lobe.

A 60-year-old patient presented with right cerebr...
(Enlarge Image)
Media file 5: A 60-year-old patient presented with right cerebral infarction. The chest radiograph demonstrates a left–lower-lobe nodule, which was later identified as a pulmonary arteriovenous malformation.
[ CLOSE WINDOW ]
A 60-year-old patient presented with right cerebr...

A 60-year-old patient presented with right cerebral infarction. The chest radiograph demonstrates a left–lower-lobe nodule, which was later identified as a pulmonary arteriovenous malformation.

Pulmonary angiogram of the same patient as in Ima...
(Enlarge Image)
Media file 6: Pulmonary angiogram of the same patient as in Image 5. The findings confirm a large pulmonary arteriovenous malformation with feeding vessels.
[ CLOSE WINDOW ]
Pulmonary angiogram of the same patient as in Ima...

Pulmonary angiogram of the same patient as in Image 5. The findings confirm a large pulmonary arteriovenous malformation with feeding vessels.

Three-dimensional computed tomography angiographi...
(Enlarge Image)
Media file 7: Three-dimensional computed tomography angiographic reconstruction of a pulmonary arteriovenous malformation in the same patient as in Images 5-6. The reconstruction utilized the volume rendering technique to enhance the image quality
[ CLOSE WINDOW ]
Three-dimensional computed tomography angiographi...

Three-dimensional computed tomography angiographic reconstruction of a pulmonary arteriovenous malformation in the same patient as in Images 5-6. The reconstruction utilized the volume rendering technique to enhance the image quality

Chest radiograph shows bilateral pulmonary arteri...
(Enlarge Image)
Media file 8: Chest radiograph shows bilateral pulmonary arteriovenous malformations in a patient who presented with dyspnea and pulmonary hemorrhage.
[ CLOSE WINDOW ]
Chest radiograph shows bilateral pulmonary arteri...

Chest radiograph shows bilateral pulmonary arteriovenous malformations in a patient who presented with dyspnea and pulmonary hemorrhage.

Pulmonary arteriovenous malformation in the left ...
(Enlarge Image)
Media file 9: Pulmonary arteriovenous malformation in the left upper lobe of the patient in Image 8.
[ CLOSE WINDOW ]
Pulmonary arteriovenous malformation in the left ...

Pulmonary arteriovenous malformation in the left upper lobe of the patient in Image 8.

Another pulmonary arteriovenous malformation in t...
(Enlarge Image)
Media file 10: Another pulmonary arteriovenous malformation in the left upper lobe of the same patient as in Images 8-9. This PAVM has already been embolized with a coil.
[ CLOSE WINDOW ]
Another pulmonary arteriovenous malformation in t...

Another pulmonary arteriovenous malformation in the left upper lobe of the same patient as in Images 8-9. This PAVM has already been embolized with a coil.

Pulmonary arteriovenous malformation in the right...
(Enlarge Image)
Media file 11: Pulmonary arteriovenous malformation in the right lower lobe of the same patient as in Images 8-10. This PAVM was previously embolized.
[ CLOSE WINDOW ]
Pulmonary arteriovenous malformation in the right...

Pulmonary arteriovenous malformation in the right lower lobe of the same patient as in Images 8-10. This PAVM was previously embolized.

Chest radiograph demonstrating a peripheral opaci...
(Enlarge Image)
Media file 12: Chest radiograph demonstrating a peripheral opacity with feeding vessels radiating to the hilum. These features strongly suggest the presence of a pulmonary arteriovenous malformation.
[ CLOSE WINDOW ]
Chest radiograph demonstrating a peripheral opaci...

Chest radiograph demonstrating a peripheral opacity with feeding vessels radiating to the hilum. These features strongly suggest the presence of a pulmonary arteriovenous malformation.

More on Lung, Arteriovenous Malformation

Overview: Lung, Arteriovenous Malformation
Imaging: Lung, Arteriovenous Malformation
Follow-up: Lung, Arteriovenous Malformation
Multimedia: Lung, Arteriovenous Malformation
References
[ CLOSE WINDOW ]

References

  1. Kjeldsen AD, Oxhøj H, Andersen PE, et al. Pulmonary arteriovenous malformations: screening procedures and pulmonary angiography in patients with hereditary hemorrhagic telangiectasia. Chest. Aug 1999;116(2):432-9. [Medline]. [Full Text].

  2. Dines DE, Seward JB, Bernatz PE. Pulmonary arteriovenous fistulas. Mayo Clin Proc. Mar 1983;58(3):176-81. [Medline].

  3. Brydon HL, Akinwunmi J, Selway R. Brain abscesses associated with pulmonary arteriovenous malformations. Br J Neurosurg. Jun 1999;13(3):265-9. [Medline].

  4. White RI Jr, Pollak JS. Pulmonary arteriovenous malformations: diagnosis with three-dimensional helical CT--a breakthrough without contrast media. Radiology. Jun 1994;191(3):613-4. [Medline]. [Full Text].

  5. Prokop M. General principles of MDCT. Eur J Radiol. Mar 2003;45 Suppl 1:S4-S10. [Medline].

  6. Rubin GD. 3-D imaging with MDCT. Eur J Radiol. Mar 2003;45 Suppl 1:S37-41. [Medline].

  7. Rubin GD. Techniques for performing multidetector-row computed tomographic angiography. Tech Vasc Interv Radiol. Mar 2001;4(1):2-14. [Medline].

  8. Lee DW, White RI Jr, Egglin TK, et al. Embolotherapy of large pulmonary arteriovenous malformations: long-term results. Ann Thorac Surg. Oct 1997;64(4):930-9; discussion 939-40. [Medline].

  9. Andersen PE, Kjeldsen AD, Oxhoj H. Embolotherapy for pulmonary arteriovenous malformations in patients with hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome). Acta Radiol. Nov 1998;39(6):723-6. [Medline].

  10. Barth KH, White RI Jr, Kaufman SL. Embolotherapy of pulmonary arteriovenous malformations with detachable balloons. Radiology. Mar 1982;142(3):599-606. [Medline]. [Full Text].

  11. Burke CM, Safai C, Nelson DP. Pulmonary arteriovenous malformations: a critical update. Am Rev Respir Dis. Aug 1986;134(2):334-9. [Medline].

  12. Coley SC, Jackson JE. Pulmonary arteriovenous malformations. Clin Radiol. Jun 1998;53(6):396-404. [Medline].

  13. Corr P, Madansein R. Pulmonary arteriovenous malformation. S Afr Med J. Apr 2002;92(4):278-9. [Medline].

  14. Cottin V, Chinet T, Lavolé A, et al. Pulmonary arteriovenous malformations in hereditary hemorrhagic telangiectasia: a series of 126 patients. Medicine (Baltimore). Jan 2007;86(1):1-17. [Medline].

  15. Davis SW, Heitmiller RF, Davis F. Intrapulmonary foreign body simulating pulmonary AVM: CT findings. J Comput Assist Tomogr. Sep-Oct 1997;21(5):769-70. [Medline].

  16. Goyen M, Ruehm SG, Jagenburg A, et al. Pulmonary arteriovenous malformation: characterization with time-resolved ultrafast 3D MR angiography. J Magn Reson Imaging. Mar 2001;13(3):458-60. [Medline].

  17. Honda O, Johkoh T, Yamamoto S. Comparison of quality of multiplanar reconstructions and direct coronal multidetector CT scans of the lung. AJR Am J Roentgenol. Oct 2002;179(4):875-9. [Medline]. [Full Text].

  18. Hongo K, Koike G, Isobe M. Surgical resection of cerebral arteriovenous malformation combined with pre-operative embolisation. J Clin Neurosci. Sep 2000;7 Suppl 1:88-91. [Medline].

  19. Image interpretation session: 1998. Pulmonary arteriovenous malformation (AVM) in the setting of hereditary hemorrhagic telangiectasia (HHT). Radiographics. Jan-Feb 1999;19(1):218-20. [Medline].

  20. Pick A, Deschamps C, Stanson AW. Pulmonary arteriovenous fistula: presentation, diagnosis, and treatment. World J Surg. Nov 1999;23(11):1118-22. [Medline].

  21. Pugash RA. Pulmonary arteriovenous malformations: overview and transcatheter embolotherapy. Can Assoc Radiol J. Apr 2001;52(2):92-102; quiz 74-6. [Medline].

  22. Rankin S, Faling LJ, Pugatch RD. CT diagnosis of pulmonary arteriovenous malformations. J Comput Assist Tomogr. Aug 1982;6(4):746-9. [Medline].

  23. Sabbà C, Pasculli G, Lenato GM, et al. Hereditary hemorrhagic telangiectasia: clinical features in ENG and ALK1 mutation carriers. J Thromb Haemost. Jun 2007;5(6):1149-57. [Medline].

  24. White RI Jr. Pulmonary arteriovenous malformations: how do we diagnose them and why is it important to do so?. Radiology. Mar 1992;182(3):633-5. [Medline]. [Full Text].

  25. Zukotynski K, Chan RP, Chow CM, et al. Contrast echocardiography grading predicts pulmonary arteriovenous malformations on CT. Chest. Jul 2007;132(1):18-23. [Medline].

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

pulmonary AVM, PAVM, pulmonary arteriovenous fistula, arteriovenous malformation, AVM, Osler-Weber-Rendu syndrome, HHT, hereditary hemorrhagic telangiectasia, Rendu-Osler-Weber syndrome, simple PAVM, complex PAVM, idiopathic congenital PAVM, acquired AVM

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Sat Sharma, MD, FRCP(C), FCCP, FACP, DABSM, Program Director, Associate Professor, Department of Internal Medicine, Divisions of Pulmonary and Critical Care Medicine, University of Manitoba; Site Director of Respiratory Medicine, St Boniface General Hospital
Sat Sharma, MD, FRCP(C), FCCP, FACP, DABSM is a member of the following medical societies: American Academy of Sleep Medicine, American College of Chest Physicians, American College of Physicians-American Society of Internal Medicine, American Thoracic Society, Canadian Medical Association, Royal College of Physicians and Surgeons of Canada, Royal Society of Medicine, Society of Critical Care Medicine, and World Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Krantikumar Rathod, MD, Lecturer, Section of Vascular and Interventional Radiology, Department of Radiology, KEM Hospital, Parel, Mumbai, India
Disclosure: Nothing to disclose.

Bruce Maycher, MD, Director of Pulmonary Radiology, St Boniface General Hospital; Associate Professor, Department of Radiology, University of Manitoba
Bruce Maycher, MD is a member of the following medical societies: American Roentgen Ray Society, Canadian Medical Association, Radiological Society of North America, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

Medical Editor

Jeffrey A Miller, MD, Associate Professor of Clinical Radiology, University of Medicine and Dentistry of New Jersey; Associate Chief of Service, Department of Radiology, Veterans Affairs of New Jersey Health Care System
Jeffrey A Miller, MD is a member of the following medical societies: North American Society for Cardiac Imaging, Society for Health Services Research in Radiology, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

W Richard Webb, MD, Chief of Thoracic Imaging, Professor, Department of Radiology, University of California at San Francisco
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Staff, Department of Radiology, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.