Recurrence of Pulmonary Arteriovenous Malformation With Non-tuberculous Mycobacteria Infection Caused by Perfusion from the Pulmonary Artery and Bronchial Artery After Coil Embolization

Hajime Kasai; Sugiura Toshihiko; Takayuki Kobayashi; Risa Okamura; Masayuki Oota; Nao Harada; Yoshinobu Wada; Satoshi Oota; Ichiro Yoshino; Yukio Nakatani; Koichiro Tatsumi

doi:10.2169/internalmedicine.1969-18

This article has now been updated. Please use the final version.

Recurrence of Pulmonary Arteriovenous Malformation With Non-tuberculous Mycobacteria Infection Caused by Perfusion from the Pulmonary Artery and Bronchial Artery After Coil Embolization

Hajime Kasai, Sugiura Toshihiko, Takayuki Kobayashi, Risa Okamura, Masayuki Oota, Nao Harada, Yoshinobu Wada, Satoshi Oota, Ichiro Yoshino, Yukio Nakatani, Koichiro Tatsumi

Author information

Hajime Kasai
Department of Respirology, Graduate School of Medicine, Chiba University, Japan
Health Professional Development Center, Chiba University Hospital, Japan
Department of Medicine, School of Medicine, Chiba University, Japan
Sugiura Toshihiko
Department of Respirology, Graduate School of Medicine, Chiba University, Japan
Takayuki Kobayashi
Department of Respirology, Graduate School of Medicine, Chiba University, Japan
Risa Okamura
Department of Medicine, School of Medicine, Chiba University, Japan
Masayuki Oota
Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Japan
Nao Harada
Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Japan
Yoshinobu Wada
Department of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
Satoshi Oota
Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Japan
Ichiro Yoshino
Department of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
Yukio Nakatani
Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Japan
Koichiro Tatsumi
Health Professional Development Center, Chiba University Hospital, Japan

Keywords: pulmonary arteriovenous malformation, coil embolization, reperfusion, bronchial artery, non-tuberculous mycobacteria

JOURNAL OPEN ACCESS Advance online publication

Article ID: 1969-18

DOI https://doi.org/10.2169/internalmedicine.1969-18

The final version of this article is now available: Vol. 58 (2019), No. 11 pp. 1593-1596

Details

Abstract

Recurrence of an embolized pulmonary arteriovenous malformation (PAVM) is common after coil embolization. A 23-year-old woman who had undergone multiple instances of transcatheter coil embolization was admitted with hypoxia and hemoptysis. A PAVM in the left S6 was found to be recanalized by reperfusion through the pulmonary and bronchial arteries. The left S6 was partially resected; the specimen contained necrotic granulomas and non-tuberculous mycobacteria (NTM) around the PAVM. Clinicians should consider possible recurrence of PAVM after reperfusion of the pulmonary and bronchial arteries, as well as the risk of NTM infection during follow-up of patients who have undergone repeated coil embolization.

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