BRONCHIAL ARTERIOVENOUS MALFORMATION IN A CHILD WITH HEMOPTYSIS - A CASE-REPORT

Pulmonary arteriovenous (AV) malformations occur sporadically and in t he pediatric population are most commonly associated with hereditary h emorrhagic telangiectasia. Hemoptysis is an infrequent presentation in this age group. Pulmonary angiography is considered to be the definit ive diagnostic modality. The authors describe an otherwise healthy ele ven-year-old girl who presented with massive hemoptysis secondary to a large bronchial AV malformation unrelated to any congenital anomalies . The pulmonary angiogram appeared normal and the diagnosis was establ ished by digital subtraction aortography. Successful embolotherapy was performed by selective injection of polyvinyl alcohol particles into the culprit bronchial artery.