Your browser doesn't support javascript.
loading
[A pregnant patient with spontaneous haemothorax: hereditary haemorrhagic telangiectasia in pregnancy]. / Een zwangere met een spontane hematothorax.
Mourad, S M; Mies, R; Frenzel, T; Willems, S; van der Heijden, E; Schultze Kool, L J.
Afiliación
  • Mourad SM; Radboudumc, Nijmegen.
Ned Tijdschr Geneeskd ; 160: A9948, 2016.
Article en Nl | MEDLINE | ID: mdl-27334082
ABSTRACT

BACKGROUND:

The incidence of hereditary haemorrhagic telangiectasia (HHT - Osler-Weber-Rendu disease) in the Netherlands is 15000 but approximately 11300 in people from the Antilles. The disease is characterised by the development of telangiectasia and arteriovenous malformations (AVMs) that may result in serious morbidity and mortality. CASE DESCRIPTION A 31-year-old primigravid patient consulted her general practitioner at 31 1/7 weeks gestational age with dyspnoea. She was referred for further diagnostics because of suspected pulmonary embolism. A CT scan showed haemothorax and a bleeding arteriovenous malformation (AVM) in the left lung. Family history suggested the possibility of HHT. After multidisciplinary consideration, a primary caesarean section was performed, followed by embolisation of the AVM during the same surgical session. The patient had a gene mutation consistent with HHT type 2.

CONCLUSION:

Pregnant patients with HHT are at risk of serious morbidity, especially if they are not screened for AVMs. A multidisciplinary approach for such patients, with consideration of various scenarios, is highly recommended.
Asunto(s)
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Cardiovasculares del Embarazo / Malformaciones Arteriovenosas / Telangiectasia Hemorrágica Hereditaria / Hemotórax Límite: Adult / Female / Humans / Pregnancy Idioma: Nl Revista: Ned Tijdschr Geneeskd Año: 2016 Tipo del documento: Article
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Cardiovasculares del Embarazo / Malformaciones Arteriovenosas / Telangiectasia Hemorrágica Hereditaria / Hemotórax Límite: Adult / Female / Humans / Pregnancy Idioma: Nl Revista: Ned Tijdschr Geneeskd Año: 2016 Tipo del documento: Article