{"id":897,"date":"2016-03-16T16:25:46","date_gmt":"2016-03-16T16:25:46","guid":{"rendered":"http:\/\/hfhpulm.com\/info\/?p=897"},"modified":"2016-03-16T16:45:05","modified_gmt":"2016-03-16T16:45:05","slug":"pulmonary-avm","status":"publish","type":"post","link":"https:\/\/hfhpulm.com\/info\/?p=897","title":{"rendered":"Pulmonary AVM"},"content":{"rendered":"<p>49 year old male with history of hypertension and hyerlipidemia that presents with hemoptysis for 1 week duration (about 1\/4 a cup a day)<\/p>\n<p>On admission vitals and labs were normal other than hypoxia on 87% that improved to 93% on 2 liters of oxygen<\/p>\n<p>Chest X ray was normal on admission<\/p>\n<p>CT scan of the chest was peformed with the image below:<\/p>\n<p>Flexable bronchoscopy was performed and revealed no source of bleeding or any endobronchial lesions<\/p>\n<p>2d echo was ordered with bubble study that revealed a a right to left shunt with less than 10 bubbles seen crossing to the left atrium (after 4 cardiac cycles)<\/p>\n<p>Shunt fraction was calculated to be 12%<\/p>\n<p>Patient was diagnosed with Pulmonary AVM and was send to IR embolization<\/p>\n<p>After the procedure patient had resolution of his symptoms with saturation improving to 97% on room air<\/p>\n<figure id=\"attachment_898\" aria-describedby=\"caption-attachment-898\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2016\/03\/PAVM.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-898 size-medium\" src=\"http:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2016\/03\/PAVM-300x187.jpg\" alt=\"Left Lower Lobe AVM with a feeding vessel\" width=\"300\" height=\"187\" srcset=\"https:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2016\/03\/PAVM-300x187.jpg 300w, https:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2016\/03\/PAVM.jpg 791w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-898\" class=\"wp-caption-text\">Left Lower Lobe AVM with a feeding vessel<\/figcaption><\/figure>\n<p><a href=\"http:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2016\/03\/PAVM.ppt\">Link to the powerpoint presentation<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>49 year old male with history of hypertension and hyerlipidemia that presents with hemoptysis for 1 week duration (about 1\/4 a cup a day) On admission vitals and labs were normal other than hypoxia on 87% that improved to 93% on 2 liters of oxygen Chest X ray was normal on admission CT scan of [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[102],"tags":[],"class_list":["post-897","post","type-post","status-publish","format-standard","hentry","category-wednesday-ipd-conference"],"modified_by":"ipd fellow","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/897","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=897"}],"version-history":[{"count":2,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/897\/revisions"}],"predecessor-version":[{"id":901,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/897\/revisions\/901"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=897"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=897"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=897"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}