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Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation

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History

Acute hemopthysis since 5 days on a 16 yo boy.

Spontaneous recurrent epistaxis in childhood


Findings

CT :

 

Multiple arterioveinous malformations (AVM) in right and left lung.

The biggest AVM is located on left upper lobe, with enlarged feeding artery and draining vein.

 

Lung angiography :

Pulmonary AVMs with single artery draining into an enlarged vein. Embolization with detachable metal coils.


Diagnosis

Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation



Author
Dr Antoine Micheau
Organization
CHU Arnaud de Villeneuve
Channel
Medical imaging of the thorax: collaborative channel of Imaios members
Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation  CT Thorax Axial Arterial phase

CT Thorax Axial Arterial phase

Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation  CT Thorax Axial Air window

CT Thorax Axial Air window

Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation Right lung angiography

Right lung angiography

Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation Selective angiography

Selective angiography

Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation Embolization with coils

Embolization with coils

Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation  CT Thorax Coronal

CT Thorax Coronal

Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation  CT Thorax MIP

CT Thorax MIP

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