Co-presentation of pulmonary arteriovenous malformation (PAVM) and multifocal benign metastasizing leiomyoma (BML) of lungs: Diagnostic dilemma and successful endovascular treatment

Jared Edwards, Frederick S. Keller, Mark S. Chesnutt, Stephanie Coates, Younes Jahangiri

Research output: Contribution to journalArticlepeer-review

Abstract

A 50-year-old female with a 20-year history of multifocal pulmonary benign metastasizing leiomyoma (BML), and asthma presented with subacute worsening of chronic dyspnea. A contrast-enhanced computerized tomography of the chest showed a single 1.4 × 1.5-cm contrast-enhancing mass in the right lower lobe among numerous non-enhancing bilateral pulmonary BML lesions. Pulmonary angiogram was not performed at that time due to clinical improvement. Four years later, the patient presented with refractory subacute worsening of her chronic dyspnea and was referred for embolization of the pulmonary arteriovenous malformation (PAVM). Two feeder arteries to the PAVM were embolized; each with a 6-mm Amplatzer-IV vascular plug and a 4-mm Nester coil. Follow-up angiograms demonstrated no flow through the PAVM. The patient's dyspnea resolved and she remained asymptomatic at one-year follow-up.

Original languageEnglish (US)
Pages (from-to)23-25
Number of pages3
JournalClinical Imaging
Volume66
DOIs
StatePublished - Oct 1 2020

Keywords

  • Benign metastasizing leiomyoma
  • Embolization
  • Pulmonary arteriovenous malformation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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