Acute onset shortness of breath in labour: haemothorax secondary to pulmonary arteriovenous malformation

Acute onset shortness of breath in labour: haemothorax secondary to pulmonary arteriovenous malformation

Published: 22 Dec 2017

© Anaesthesia Cases / 2017-0242 / ISSN 2396-8397

Authors

Dr Paula Joy [1]
Dr Sarah Gouldson [2]
Dr Lesley Jordan [3]
Dr Nicola Weale [4]
  • [1] Clinical Fellow, Anaesthesia and Intensive Care Medicine, North Bristol NHS Trust, Bristol, United Kingdom
  • [2] Specialist Registrar, North Bristol NHS Trust
  • [3] Consultant, Royal United Hospital, Bath
  • [4] Consultant, North Bristol NHS Trust

Summary

We report the case of a 31-year-old female presenting with haemothorax secondary to rupture of pulmonary arteriovenous malformation following induction of labour. This caused fetal compromise that necessitated immediate delivery. Emergency embolisation was performed after inter-hospital transfer to a regional centre with interventional radiology facilities. The postoperative course was complicated by large volume pulmonary emboli and persistent infection which required video assisted thorascopic surgery.    

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