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Eur J Cardiothorac Surg 2006;30:405-407
© 2006 Elsevier Science NL

Case report

Pulmonary arteriovenous malformation in a patient with tuberculosis — an association?

Department of Pulmonary Medicine, Christian Medical College, Vellore, India

Received 16 March 2006; accepted 22 April 2006.

^_* Corresponding author. Tel.: +91 416 2282859/511; fax: +91 416 2232035/103. (Email: rajesh{at}cmcvellore.ac.in; drrajeshthomas{at}rediffmail.com).

We report a case of pulmonary arteriovenous malformation (PAVM) and associated pulmonary tuberculosis in a young girl who presented with hemoptysis. As intra-arterial coil embolization did not result in improvement of symptoms, surgical resection of the PAVM was performed, resulting in dramatic clinical improvement. Histopathology revealed a large PAVM, and in addition, caseous necrotizing granulomatous inflammation, suggestive of pulmonary tuberculosis. This case is being reported since the association of large PAVM and tuberculosis is very rare, and both could present with hemoptysis.

Abbreviations: PAVM = pulmonary arteriovenous malformation

Key Words: Pulmonary arteriovenous malformation (PAVM) • Pulmonary tuberculosis