Literature search at Indiana University, Bloomington, Indiana
Record 1 of 23 in MEDLINE EXPRESS (R) 2000/01-2000/10
TITLE: [Cerebro-meningeal hemorrhage secondary to ruptured vascular malformation during pregnancy and post-partum]
ORIGINAL TITLE: Hemorragies cerebro-meningees par rupture d'une malformation vasculaire en cours de grossesse ou de post-partum.
AUTHOR(S): Velut-S; Vinikoff-L; Destrieux-C; Kakou-M
ADDRESS OF AUTHOR: Service de Neurochirurgie, CHU Bretonneau, 37044 Tours Cedex 01.
SOURCE (BIBLIOGRAPHIC CITATION): Neurochirurgie. 2000 Apr; 46(2): 95-104
INTERNATIONAL STANDARD SERIAL NUMBER: 0028-3770
PUBLICATION YEAR: 2000
LANGUAGE OF ARTICLE: FRENCH; NON-ENGLISH
COUNTRY OF PUBLICATION: FRANCE
ABSTRACT: Thirty two new cases of vascular malformations discovered during pregnancy were reviewed in a multicentric retrospective study and compared to the literature. The authors studied both the influence of pregnancy and post-partum on cerebral vascular malformations and the corresponding neurosurgical and obstetrical management. The relative frequencies of arteriovenous malformations (AVMs) and arterial aneurysms (AAs) is the same for pregnant and non-pregnant women. Pregnancy does not increase the risk of first bleeding of vascular malformations but the risk of re-bleeding is increased for AVMs. The bleeding of a vascular malformation is more strongly correlated to age than to parity. The mean maternal age at the time of rupture is greater for AAs than for AVMs, as it is in the general population. The bleeding of a vascular malformations occurs more frequently during the second and third trimesters of pregnancy than in the first one and in the post-partum. Labor and delivery are not great-risk-periods. Management of vascular malformation in pregnant woman is proposed as follow : --a ruptured AA or AVM is managed as it is in non-pregnant woman, whatever the gestational age; no fetal extraction needs to be performed except ed if the rupture occurs at the very end of the pregnancy;--an non-ruptured AVM discovered during pregnancy is treated after delivery; an non-ruptured AVM that never bled before pregnancy is managed in the same way that an non-ruptured AA.
MINOR MESH HEADINGS: English-Abstract; Pregnancy-; Rupture,-Spontaneous
MAJOR MeSH HEADINGS: *Aneurysm,-Ruptured-complications; *Central-Nervous-System-Vascular-Malformations-complications; *Cerebral-Hemorrhage-etiology; *Intracranial-Aneurysm-complications; *Pregnancy-Complications,-Hematologic-etiology; *Puerperal-Disorders-etiology
CHECKTAGS: English-Abstract; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
MEDLINE ACCESSION NUMBER: 20305070
UPDATE CODE: 200010
Record 2 of 23 in MEDLINE EXPRESS (R) 2000/01-2000/10
TITLE: [The anesthetic management for elective or emergent cesarean section in patients with intracranial arteriovenous malformation]
AUTHOR(S): Hatsukari-I; Nagasaka-H; Tsuchiya-M; Taguchi-M
ADDRESS OF AUTHOR: Department of Anesthesiology, Saitama Medical School.
SOURCE (BIBLIOGRAPHIC CITATION): Masui. 2000 Jan; 49(1): 33-6
INTERNATIONAL STANDARD SERIAL NUMBER: 0021-4892
PUBLICATION YEAR: 2000
LANGUAGE OF ARTICLE: JAPANESE; NON-ENGLISH
COUNTRY OF PUBLICATION: JAPAN
ABSTRACT: Subarachnoid hemorrhage secondary to ruptured intracranial arteriovenous malformation (AVM) during pregnancy, although rare, is a grave complication. We experienced 3 patients with AVM for cesarean section. Case 1: A 24-year-old woman suffered sudden vomiting and headache during the 22nd week of her first pregnancy. She was diagnosed as having the intracranial hemorrhage due to AVM. Because the patient was bleeding again at 29th week of pregnancy, emergency operation was performed. Her neurological symptom improved. Cesarean section was performed under general anesthesia at 34th week of pregnancy. Case 2: A 42-year-old woman of her first pregnancy had past history of subarachnoid hemorrhage due to AVM at the ages of 23, 28, 29 and 36. The malformation was not corrected surgically. Her neurological status was normal. Cesarean section was performed under spinal anesthesia. Case 3: A 29-year-old woman suffered sudden hemiplegia, vomiting and headache during the 40th week of her first pregnancy. She was diagnosed as having intracranial hemorrhage. Cesarean section immediately followed by the removal of an intra cranial hematoma under general anesthesia. Better perinatal outcome is expected when AVM rerupture is prevented by first performing cesarean section.
MINOR MESH HEADINGS: Adult-; Emergencies-; English-Abstract; Intracranial-Arteriovenous-Malformations-complications; Pregnancy-; Prognosis-; Subarachnoid-Hemorrhage-etiology; Subarachnoid-Hemorrhage-surgery; Surgical-Procedures,-Elective
MAJOR MeSH HEADINGS: *Anesthesia,-General; *Anesthesia,-Obstetrical; *Cesarean-Section; *Intracranial-Arteriovenous-Malformations-surgery; *Pregnancy-Complications,-Cardiovascular-surgery
CHECKTAGS: Case-Report; English-Abstract; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 20154430
UPDATE CODE: 200006
Record 3 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: [Anesthetic management of parturients with cerebrovascular diseases]
AUTHOR(S): Abe-T; Kinouchi-K; Kita-T; Takada-K; Fukumitsu-K; Kitamura-S
ADDRESS OF AUTHOR: Department of Anesthesiology, Osaka Medical Center.
SOURCE (BIBLIOGRAPHIC CITATION): Masui. 1999 Jul; 48(7): 773-7
INTERNATIONAL STANDARD SERIAL NUMBER: 0021-4892
PUBLICATION YEAR: 1999
LANGUAGE OF ARTICLE: JAPANESE; NON-ENGLISH
COUNTRY OF PUBLICATION: JAPAN
ABSTRACT: From January 1992 to December 1997, 13 parturients with cerebrovascular diseases had childbirth at our institution. Among them, 8 patients received anesthesia for delivery. Five patients had a history of ruptured arteriovenous malformation (AVM), cerebral aneurysm, or intraventricular bleeding due to moyamoya disease, and they had radical operations. Of these 5 patients after radical operations, three had a repeat cesarean section under spinal anesthesia, and two had a vaginal delivery under epidural anesthesia to avoid excessive hypertension and hyperventilation. There were two patients with a history of cerebrovascular diseases but had no radical operations. Of these two, one patient who was diagnosed as having aneurysm underwent elective cesarean section under spinal anesthesia, and another patient with a history of cerebral bleeding underwent cesarean section under general anesthesia for abruptio placentae. These 7 patients did well during pregnancy and puerperium. The eighth patient experienced severe headache followed by loss of consciousness caused by ruptured AVM, and required an emergency operation. Simultaneous cesarean section and craniotomy were performed at another hospital. Intrauterine fetal death (IUFD) occurred, but mother survived.
MINOR MESH HEADINGS: Adult-; Analgesia,-Obstetrical; Anesthesia,-Epidural; Anesthesia,-Spinal; Cerebrovascular-Disorders-surgery; Cesarean-Section; English-Abstract; Pregnancy-; Pregnancy-Complications,-Cardiovascular-surgery; Pregnancy-Outcome
MAJOR MeSH HEADINGS: *Anesthesia,-General; *Anesthesia,-Obstetrical; *Cerebrovascular-Disorders; *Pregnancy-Complications,-Cardiovascular
CHECKTAGS: Case-Report; English-Abstract; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 99363364
UPDATE CODE: 200001
Record 4 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: [Intracranial arteriovenous malformations in pregnant women]
ORIGINAL TITLE: Intracraniele arterioveneuze malformatie bij zwangere vrouwen.
AUTHOR(S): Perquin-DA; Kloet-A; Tans-JT; Witte-GN; Dorr-PJ
ADDRESS OF AUTHOR: Medisch Centrum Haaglanden, Locatie Westeinde Ziekenhuis, Den Haag.
SOURCE (BIBLIOGRAPHIC CITATION): Ned-Tijdschr-Geneeskd. 1999 Mar 6; 143(10): 497-500
INTERNATIONAL STANDARD SERIAL NUMBER: 0028-2162
PUBLICATION YEAR: 1999
LANGUAGE OF ARTICLE: DUTCH; NON-ENGLISH
COUNTRY OF PUBLICATION: NETHERLANDS
ABSTRACT: Three women, aged 27, 32 and 30 years, respectively, suffered from headache, nausea and neurological abnormalities and were found to have an intracranial arteriovenous malformation (AVM). One of them after diagnosis had two pregnancies, both ended by caesarean section with good results. Another woman was 32 weeks pregnant when the AVM manifested itself with a haemorrhage; she recovered well and was delivered by caesarean section. After the AVM proved radiologically to have been obliterated, she delivered after her subsequent pregnancy by the vaginal route with vacuum extraction. The third woman was 15 weeks pregnant when major abnormalities developed. There was a large intracerebral haematoma with break-through to the ventricular system; this patient died. Intracranial haemorrhage during pregnancy is rate. It can result in maternal and foetal morbidity and mortality. It appears that pregnancy does not increase the rate of first cerebral haemorrhage from an AVM. The management of AVM rupture during pregnancy should be based primarily on neurosurgical rather than on obstetric considerations. Close collaboration with a team of neurologists, neurosurgeons, obstetricians and anaesthesiologists is mandatory.
MINOR MESH HEADINGS: Adult-; Aneurysm,-Ruptured-complications; Cerebral-Hemorrhage-etiology; Cesarean-Section-adverse-effects; English-Abstract; Fatal-Outcome; Headache-etiology; Intracranial-Arteriovenous-Malformations-complications; Intracranial-Arteriovenous-Malformations-therapy; Magnetic-Resonance-Imaging; Nausea-etiology; Neurologic-Examination; Pregnancy-; Pregnancy-Complications,-Cardiovascular-therapy; Tomography,-X-Ray-Computed
MAJOR MeSH HEADINGS: *Aneurysm,-Ruptured-diagnosis; *Intracranial-Arteriovenous-Malformations-diagnosis; *Pregnancy-Complications,-Cardiovascular-diagnosis
CHECKTAGS: Case-Report; English-Abstract; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 99254558
UPDATE CODE: 199908
Record 5 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: Anaesthesia for caesarean section in a patient with an intracranial arteriovenous malformation.
AUTHOR(S): Yih-PS; Cheong-KF
ADDRESS OF AUTHOR: Department of Anaesthesia, National University Hospital, Singapore.
SOURCE (BIBLIOGRAPHIC CITATION): Anaesth-Intensive-Care. 1999 Feb; 27(1): 66-8
INTERNATIONAL STANDARD SERIAL NUMBER: 0310-057X
PUBLICATION YEAR: 1999
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: AUSTRALIA
ABSTRACT: Intracranial haemorrhage from an arteriovenous malformation (AVM) during pregnancy is rare but may result in significant maternal and fetal morbidity and mortality. In the untreated patient with an AVM, the best mode of delivery remains debatable with most obstetricians preferring a caesarean section in order to avoid Valsalva manoeuvres associated with vaginal delivery. We describe the administration of epidural anaesthesia for such a parturient undergoing Caesarean section and the anaesthetic implications.
MINOR MESH HEADINGS: Adult-; Pregnancy-
MAJOR MeSH HEADINGS: *Anesthesia,-Epidural; *Anesthesia,-Obstetrical; *Cesarean-Section; *Intracranial-Arteriovenous-Malformations; *Pregnancy-Complications,-Cardiovascular
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 99159135
UPDATE CODE: 199906
SUBSET: NURSING
Record 6 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: Hypertension, small size, and deep venous drainage are associated with risk of hemorrhagic presentation of cerebral arteriovenous malformations.
AUTHOR(S): Langer-DJ; Lasner-TM; Hurst-RW; Flamm-ES; Zager-EL; King-JT Jr
ADDRESS OF AUTHOR: Department of Neurosurgery, University of Pennsylvania School of Medicine, Philadelphia, USA.
SOURCE (BIBLIOGRAPHIC CITATION): Neurosurgery. 1998 Mar; 42(3): 481-6; discussion 487-9
INTERNATIONAL STANDARD SERIAL NUMBER: 0148-396X
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: OBJECTIVE: To identify clinical and angiographic factors of cerebral arteriovenous malformations (AVMs) associated with hemorrhage to improve the estimation of the risks and help guide management in clinical decision making. METHODS: We conducted a retrospective analysis of 100 consecutive adults who have presented during the past 3 years to our institution with cerebral AVMs. Angiographic and clinical parameters were evaluated using multivariate logistic regression analysis to analyze factors associated with hemorrhagic presentation. RESULTS: The group had a mean age of 37.8 years; 53% were men, 48% presented with intracranial hemorrhage, and 40% presented with seizures. All 10 patients with cerebellar AVMs presented with hemorrhage. The following factors were independently associated with AVM hemorrhage: history of hypertension (P = 0.019; odds ratio [OR] = 5.36), nidal diameter <3 cm (P = 0.023: OR = 4.60), and deep venous drainage (P = 0.009: OR = 5.77). Dural arterial supply (P = 0.008; OR = 0.15) was independently associated with decreased risk of bleed. Location, nidal aneurysms, patient age, and smoking were not associated with increased or decreased bleeding risk. CONCLUSION: In this study, we found small AVM size and deep venous drainage to be positively associated with AVM hemorrhage. Dural supply was associated with a decreased likelihood of hemorrhagic presentation. Hypertension was found to be the only clinical factor positively associated with hemorrhage, a finding not previously reported. Smoking, although associated with increased risk of aneurysmal subarachnoid hemorrhage, was not associated with a higher risk of AVM hemorrhage.
MINOR MESH HEADINGS: Adult-; Cerebral-Angiography; Cerebral-Veins-physiopathology; Intracranial-Arteriovenous-Malformations-physiopathology; Middle-Age; Multivariate-Analysis; Pregnancy-; Pregnancy-Complications,-Cardiovascular-radiography; Risk-Factors; Seizures-etiology
MAJOR MeSH HEADINGS: *Cerebral-Hemorrhage-etiology; *Cerebral-Veins-radiography; *Hypertension-complications; *Intracranial-Arteriovenous-Malformations-complications; *Intracranial-Arteriovenous-Malformations-radiography
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 98186177
UPDATE CODE: 199807
Record 7 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: [Conservative treatment of cerebral arteriovenous malformations. Follow-up study of 31 cases]
ORIGINAL TITLE: Leczenie zachowawcze naczyniakow tetniczo-zylnych mozgu. Badanie katamnestyczne 31 przypadkow.
AUTHOR(S): Majewski-T; Liebert-W; Nowak-S; Smol-S
ADDRESS OF AUTHOR: Katedry i Kliniki Neurochirurgii Akademii Medycznej w Poznaniu im.
SOURCE (BIBLIOGRAPHIC CITATION): Neurol-Neurochir-Pol. 1998 May-Jun; 32(3): 573-9
INTERNATIONAL STANDARD SERIAL NUMBER: 0028-3843
PUBLICATION YEAR: 1998
LANGUAGE OF ARTICLE: POLISH; NON-ENGLISH
COUNTRY OF PUBLICATION: POLAND
ABSTRACT: The clinical course of 31 patients with conservatively treated intracranial arteriovenous malformations (AVM's) was followed-up. The average follow-up period was 8.2 years, 75% of patients were followed up for more than 5 years. The initial symptom was intracranial bleeding in 21 patients (68%), seizure in 5 (16%), neurological deficit in 2 (6.5%), headache in 2 (6.5%) and intracranial hypertension in 1 (3%). The prognosis was more favourable for patients presenting with seizures than for patients presenting with haemorrhage. Patients in the haemorrhage group had 29% incidence of haemorrhage causing 14% mortality in this group. Of the 31 patient's 20 (64.5%) had a good clinical outcome, 4 (13%) had a fair outcome and 2 (6.5%) poor, 5 patients died, with one not due to AVM. There was no correlation between pregnancy and bleeding.
MINOR MESH HEADINGS: Adolescence-; Adult-; Arteriovenous-Malformations-complications; Cerebral-Hemorrhage-etiology; Child-; Disease-Progression; Embolization,-Therapeutic-methods; English-Abstract; Follow-Up-Studies; Middle-Age; Prognosis-; Retrospective-Studies; Seizures-etiology
MAJOR MeSH HEADINGS: *Arteriovenous-Malformations-therapy
CHECKTAGS: English-Abstract; Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 98443633
UPDATE CODE: 199903
Record 8 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: [Anesthetic management of parturients with intracranial arteriovenous malformation]
AUTHOR(S): Handa-F; Tanaka-M; Toyooka-H
ADDRESS OF AUTHOR: Department of Anesthesia, University of Tsukuba.
SOURCE (BIBLIOGRAPHIC CITATION): Masui. 1997 Aug; 46(8): 1110-3
INTERNATIONAL STANDARD SERIAL NUMBER: 0021-4892
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: JAPANESE; NON-ENGLISH
COUNTRY OF PUBLICATION: JAPAN
ABSTRACT: We have retrospectively analyzed twelve pregnancies in nine patients with intracranial arteriovenous malformation (AVM) managed at our hospital from 1984 to 1995. Following radical excision of AVM before or during pregnancy in 6 cases, transvaginal deliveries were performed without untoward sequelae. In three of five patients who received non-curative treatments, labor analgesia was provided using epidural local anesthetics. One patient who presented with ruptured AVM followed by medical therapy, elective cesarean section was performed under spinal anesthesia with a favorable outcome. Anesthesia courses in two patients for the resection of ruptured AVM during pregnancy were uneventful under enflurane and nitrous oxide anesthesia, or balanced anesthesia using fentanyl and nitrous oxide in oxygen. Simultaneous cesarean section craniotomy was not performed at our hospital.
MINOR MESH HEADINGS: Analgesia,-Obstetrical; Cesarean-Section; Delivery-; English-Abstract; Heart-Rate,-Fetal; Intracranial-Arteriovenous-Malformations-surgery; Monitoring,-Intraoperative; Pregnancy-; Pregnancy-Complications,-Cardiovascular-surgery; Retrospective-Studies
MAJOR MeSH HEADINGS: *Anesthesia,-Epidural; *Anesthesia,-General; *Anesthesia,-Obstetrical; *Anesthesia,-Spinal; *Intracranial-Arteriovenous-Malformations; *Pregnancy-Complications,-Cardiovascular
CHECKTAGS: English-Abstract; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 97428706
UPDATE CODE: 199802
Record 9 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: Annual risk for the first hemorrhage from untreated cerebral arteriovenous malformations.
AUTHOR(S): Karlsson-B; Lindquist-C; Johansson-A; Steiner-L
ADDRESS OF AUTHOR: Department of Neurosurgery, Karolinska Hospital, Stockholm, Sweden.
SOURCE (BIBLIOGRAPHIC CITATION): Minim-Invasive-Neurosurg. 1997 Jun; 40(2): 40-6
INTERNATIONAL STANDARD SERIAL NUMBER: 0946-7211
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: GERMANY
ABSTRACT: To estimate the annual risk for the first hemorrhage, survival and life table statistics were used to analyze data from 2262 patients with cerebral arteriovenous malformations (AVM). We found that the risk for hemorrhage increases with increasing age. A validity test revealed, however, that life table statistics used on the total patient material underestimated the annual risk for hemorrhage, especially for patients 20-50 years of age. A method based on the fact that the distribution of the time at risk until the initial hemorrhage (= age at first rupture) reflects the risk for hemorrhage in untreated AVM was therefore also employed. The analysis yielded three conclusions: 1) the annual risk of hemorrhage increases with age; 2) small AVM are less prone to rupture; and 3) the risk of hemorrhage is higher in women during their fertile years as compared to males in the same age group. The risk related to age, AVM size and location assessed by survival statistics in the subgroup of patients with a known date for the initial hemorrhage gave similar results.
MINOR MESH HEADINGS: Adolescence-; Adult-; Age-of-Onset; Age-Distribution; Aged-; Cerebral-Hemorrhage-epidemiology; Child-; Child,-Preschool; Disease-Progression; Infant-; Infant,-Newborn; Intracranial-Arteriovenous-Malformations-pathology; Life-Tables; Middle-Age; Pregnancy-; Retrospective-Studies; Risk-Factors; Survival-Analysis
MAJOR MeSH HEADINGS: *Cerebral-Hemorrhage-etiology; *Intracranial-Arteriovenous-Malformations-complications
CHECKTAGS: Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 97372071
UPDATE CODE: 199712
Record 10 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: Mandibular arteriovenous malformation in pregnancy.
AUTHOR(S): McMahon-MJ; Hansen-WF; O'Meara-AT
ADDRESS OF AUTHOR: University of North Carolina at Chapel Hill, School of Medicine, Department of Obstetrics and Gynecology, 27599-7570, USA.
SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Perinatol. 1997 Nov; 14(10): 619-21
INTERNATIONAL STANDARD SERIAL NUMBER: 0735-1631
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: Benign vascular lesions, such as hemangiomas of childhood, arteriovenous malformations (AVMs) and venous malformations, are uncommon and have been found in a variety of organs throughout the body. Vascular lesions of bone are found most often in the vertebral column. Vascular tumors of the mandible are rare. We report a case of a mandibular AVM found in a pregnant woman at 35 weeks' gestation. A pregnant woman presented at 35 weeks' gestation with right-sided jaw pain and was found to have a pulsatile mass on the internal surface of the right mandible in the area of the premolars. Profuse bleeding of the lesion required emergent selective arterial embolization of a vascular tumor of the mandible, which resulted in successful occlusion of the vessels. Uncomplicated vaginal delivery followed induction of labor. Excision and reconstructive surgery occurred 1 week postembolization. Pathology confirmed an AVM. Mandibular AVMs are rare vascular tumors that, when correctly diagnosed, can be successfully managed during pregnancy. Whether or not vascular or hormonal changes associated with pregnancy can exacerbate a preexisting AVM is debatable.
MINOR MESH HEADINGS: Adult-; Pregnancy-
MAJOR MeSH HEADINGS: *Arteriovenous-Malformations-complications; *Mandible-blood-supply; *Pregnancy-Complications,-Cardiovascular
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 98266285
UPDATE CODE: 199809
Record 11 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: Arteriovenous malformations of the uterus: an uncommon cause of vaginal bleeding.
AUTHOR(S): Hoffman-MK; Meilstrup-JW; Shackelford-DP; Kaminski-PF
ADDRESS OF AUTHOR: Department of Obstetrics and Gynecology, Medical Center of Delaware, Newark 19718, USA.
SOURCE (BIBLIOGRAPHIC CITATION): Obstet-Gynecol-Surv. 1997 Dec; 52(12): 736-40
INTERNATIONAL STANDARD SERIAL NUMBER: 0029-7828
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: Arteriovenous malformations (AVM) are rare entities in gynecology, with only 73 cases reported in the literature. Most commonly they present with vaginal hemorrhage, but other presentations such as congestive heart failure, postmenopausal bleeding, and an asymptomatic mass have been described. These lesions may be congenital or acquired. Acquired lesions are believed to follow trauma or may arise after choriocarcinoma or other gynecologic malignancies. Diagnosis can rapidly be made with color flow Doppler ultrasound or angiography. Additionally, they have been detected using hysteroscopy, hysterosalpingogram, and computerized tomography. Acute management consists of hemodynamic stabilization and possibly placement of a Foley bulb in the uterus or methylergonovine injection. Ultimate treatment depends on the patients desire for fertility. Embolization therapy is variably successful and may allow the preservation of reproductive capacity. To date, five pregnancies after embolization have been reported with varying outcomes. If pregnancy is not desired or embolization fails, hysterectomy remains the treatment of choice.
MINOR MESH HEADINGS: Adult-; Arteriovenous-Malformations-therapy; Embolization,-Therapeutic; Hysterectomy-; Pregnancy-; Ultrasonography,-Doppler,-Color; Uterine-Hemorrhage-therapy; Uterine-Hemorrhage-ultrasonography
MAJOR MeSH HEADINGS: *Arteriovenous-Malformations-complications; *Uterine-Hemorrhage-etiology; *Uterus-blood-supply
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 98073259
UPDATE CODE: 199803
Record 12 of 23 in MEDLINE EXPRESS (R) 1997-1999
TITLE: Uterine arteriovenous malformation in a patient with recurrent pregnancy loss and a bicornuate uterus. A case report.
AUTHOR(S): Arredondo-Soberon-F; Loret-de-Mola-JR; Shlansky-Goldberg-R; Tureck-RW
ADDRESS OF AUTHOR: Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, USA.
SOURCE (BIBLIOGRAPHIC CITATION): J-Reprod-Med. 1997 Apr; 42(4): 239-43
INTERNATIONAL STANDARD SERIAL NUMBER: 0024-7758
PUBLICATION YEAR: 1997
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: BACKGROUND: Arteriovenous malformations (AVM) of the uterus are a rare but potential cause of recurrent pregnancy loss. Only four cases of uterine AVM have resulted in a live birth after conservative management. There is no previous report in which a combination of a mullerian anomaly and an AVM existed concomitantly. CASE: A 33-year-old woman with a history of recurrent pregnancy loss was found to have a coexistent uterine AVM and a bicornuate uterus. The patient underwent arterial embolization and Strassman metroplasty and subsequently had a term pregnancy with a live birth. CONCLUSION: Management of uterine AVM should be individualized, taking into account the patient's desire for future fertility and the stability of her health at presentation.
MINOR MESH HEADINGS: Abortion,-Habitual-etiology; Adult-; Arteriovenous-Malformations-diagnosis; Comorbidity-; Iliac-Artery-abnormalities; Mullerian-Ducts-abnormalities; Pregnancy-; Pregnancy-Outcome; Uterus-abnormalities
MAJOR MeSH HEADINGS: *Arteriovenous-Malformations-therapy; *Embolization,-Therapeutic; *Uterus-blood-supply
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 97278164
UPDATE CODE: 199708
Record 13 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: Spontaneous regression of intracranial arteriovenous malformation on PET.
AUTHOR(S): Ohmori-Y; Maekawa-M; Imahori-Y; Yoshino-E; Ueda-S
ADDRESS OF AUTHOR: Department of Neurosurgery, Kyoto Prefectural University of Medicine, Japan.
SOURCE (BIBLIOGRAPHIC CITATION): J-Nucl-Med. 1996 Oct; 37(10): 1673-6
INTERNATIONAL STANDARD SERIAL NUMBER: 0161-5505
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: We report a case of spontaneous regression of intracranial arteriovenous malformation (AVM) detected by PET in a 57-yr-old woman who had suffered repeated ruptures of the AVM at 28, 30 and 31 yr of age associated with pregnancy. The rupture at this hospitalization was the most critical, and after repeated ruptures for 1 mo, the AVM regressed spontaneously. The decreased cerebral blood volume (CBV) in the AVM indicated regression. The flow-to-volume (CBF/ CBV) ratios surrounding the AVM increased. The metabolic rate for oxygen (CMRO2) did not correlate with her improved neurological status, and an imbalance between CBF and CMRO2 was recognized.
MINOR MESH HEADINGS: Cerebrovascular-Circulation; Intracranial-Arteriovenous-Malformations-physiopathology; Middle-Age; Remission,-Spontaneous
MAJOR MeSH HEADINGS: *Intracranial-Arteriovenous-Malformations-radionuclide-imaging; *Tomography,-Emission-Computed
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 97015658
UPDATE CODE: 199701
Record 14 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: Use of MR angiography in a pregnant patient with thalamic AVM.
AUTHOR(S): Shojaku-H; Seto-H; Kakishita-M; Yokoyama-M; Ito-J
ADDRESS OF AUTHOR: Department of Radiology, Toyama Medical and Pharmaceutical University, Japan.
SOURCE (BIBLIOGRAPHIC CITATION): Radiat-Med. 1996 May-Jun; 14(3): 159-61
INTERNATIONAL STANDARD SERIAL NUMBER: 0288-2043
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: JAPAN
ABSTRACT: A 32-year-old pregnant woman at 29 gestational weeks suffered from the acute onset of severe headache. Brain CT, MRI, and MR angiography (MRA) showed intraventricular and thalamic hemorrhage, ruptured from a thalamic AVM. Based on these findings, conservative treatment was continued until delivery. After cesarean delivery at 34 gestational weeks, conventional cerebral angiography was performed, followed later by gamma-knife therapy. In pregnant patients with suspected cerebrovascular disorders, MRI and MRA should be the first of choice method to evaluate information on the diseased vessels and associated lesions since there is no radiation risk or side effects of contrast medium.
MINOR MESH HEADINGS: Adult-; Pregnancy-; Rupture,-Spontaneous; Tomography,-X-Ray-Computed
MAJOR MeSH HEADINGS: *Intracranial-Arteriovenous-Malformations-diagnosis; *Magnetic-Resonance-Angiography-methods; *Pregnancy-Complications,-Cardiovascular-diagnosis; *Thalamus-blood-supply
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 96425369
UPDATE CODE: 199702
Record 15 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: Spinal anaesthesia for Caesarean section in a patient with a cervical arteriovenous malformation.
AUTHOR(S): Ong-BY; Littleford-J; Segstro-R; Paetkau-D; Sutton-I
ADDRESS OF AUTHOR: Department of Anesthesia, University of Manitoba, Winnipeg, Canada.
SOURCE (BIBLIOGRAPHIC CITATION): Can-J-Anaesth. 1996 Oct; 43(10): 1052-8
INTERNATIONAL STANDARD SERIAL NUMBER: 0832-610X
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: CANADA
ABSTRACT: PURPOSE: Arteriovenous malformations (AVM) of the spinal cord are rare. We report the successful management of a patient with a cervical spinal cord AVM undergoing Caesarean section delivery, using a spinal anaesthetic. CLINICAL FEATURES: Based on previous radiological investigations, the patient was known to have an AVM at the third cervical level of her spinal cord. After application of monitors and intravenous administration of 1 L normal saline, a 25 g Whitacre needle was inserted into the subarachnoid space at the L3-4 interspace. Spinal anaesthesia was established with a solution consisting of hyperbaric spinal bupivacaine 12 mg, fentanyl 12.5 micrograms and epidural morphine 0.25 mg. There was no neurological deficit during hospital stay or after discharge. CONCLUSION: The safe outcome of spinal anaesthesia for our patient is encouraging. The presence of spinal cord AVM at the cervical region is not an absolute contraindication to spinal anaesthesia.
MINOR MESH HEADINGS: Adult-; Cesarean-Section; Pregnancy-
MAJOR MeSH HEADINGS: *Anesthesia,-Obstetrical; *Anesthesia,-Spinal; *Arteriovenous-Malformations-physiopathology; *Pregnancy-Complications-physiopathology; *Spinal-Cord-blood-supply
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 97052223
UPDATE CODE: 199704
Record 16 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: Systemic supply to a pulmonary arteriovenous malformation: potential explanation for recurrence.
AUTHOR(S): Wispelaere-JFD; Trigaux-JP; Weynants-P; Delos-M; Coene-BD
ADDRESS OF AUTHOR: Department of Radiology, Cliniques Universitaires UCL de Mont-Godinne, B-5530 Yvoir, Belgium.
SOURCE (BIBLIOGRAPHIC CITATION): Cardiovasc-Intervent-Radiol. 1996 Jul-Aug; 19(4): 285-7
INTERNATIONAL STANDARD SERIAL NUMBER: 0174-1551
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: A pregnant woman presented with hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome) and a single pulmonary arteriovenous malformation (AVM) that had been embolized 5 years previously. Partly due to pregnancy, recanalization of the aneurysm occurred with subsequent hemoptysis. Despite successful therapeutic reembolization of the afferent pulmonary artery, hemoptysis recurred 5 days later. At this time, recanalization of the pulmonary artery was not demonstrated by pulmonary angiography, but a systemic angiogram revealed a bronchial arterial supply to the pulmonary AVM. A systemic supply should always be sought in cases of recurrent hemoptysis after technically successful embolization of the feeding pulmonary artery.
MINOR MESH HEADINGS: Adult-; Arteriovenous-Malformations-complications; Arteriovenous-Malformations-radiography; Bronchial-Arteries-radiography; Hemoptysis-etiology; Pregnancy-; Recurrence-; Telangiectasia,-Hereditary-Hemorrhagic-complications
MAJOR MeSH HEADINGS: *Arteriovenous-Malformations-therapy; *Bronchial-Arteries-abnormalities; *Embolization,-Therapeutic; *Pregnancy-Complications-therapy; *Pulmonary-Artery-abnormalities; *Pulmonary-Veins-abnormalities
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 96324256
UPDATE CODE: 199612
Record 17 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: Multiple and massive arteriovenous malformations in pregnancy.
AUTHOR(S): Geary-M; McParland-P
ADDRESS OF AUTHOR: National Maternity Hospital, Dublin, Ireland.
SOURCE (BIBLIOGRAPHIC CITATION): Eur-J-Obstet-Gynecol-Reprod-Biol. 1996 Jan; 64(1): 147-50
INTERNATIONAL STANDARD SERIAL NUMBER: 0301-2115
PUBLICATION YEAR: 1996
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: IRELAND
ABSTRACT: Arteriovenous malformations (AVM) are rare in the reproductive years of life. There is a paucity of data regarding AVMs in pregnancy. Pregnancy can influence both the development and the progression of AVMs. The tendency to bleed is unpredictable. Many AVMs undergo spontaneous postpartum regression. We report on a 30-year old primipara with multiple generalised AVMs, both congenital and acquired, and a massive congenital AVM involving her entire right upper limb and shoulder girdle. Magnetic resonance imaging suggested there were AVMs in both the pelvis and the lower abdominal wall. The main management dilemma was mode of delivery. A trial of vaginal delivery was successful after spontaneous onset at term. The patient had a series of significant postpartum haemorrhages, warranting blood transfusion.
MINOR MESH HEADINGS: Adult-; Magnetic-Resonance-Imaging; Pregnancy-
MAJOR MeSH HEADINGS: *Arteriovenous-Malformations; *Pregnancy-Complications,-Cardiovascular
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 96236672
UPDATE CODE: 199612
Record 18 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: [Anesthesia for cesarean section in a patient with intracranial A-V malformation]
AUTHOR(S): Terao-M; Kubota-M; Tamakawa-S; Kawada-K; Ogawa-H
ADDRESS OF AUTHOR: Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical College.
SOURCE (BIBLIOGRAPHIC CITATION): Masui. 1995 Dec; 44(12): 1700-2
INTERNATIONAL STANDARD SERIAL NUMBER: 0021-4892
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: JAPANESE; NON-ENGLISH
COUNTRY OF PUBLICATION: JAPAN
ABSTRACT: We presented a case of intracranial vascular malformations associated with pregnancy. A 32 year-old woman who was at 36 weeks of gestation had been experiencing loss of consciousness and convulsions for 3 years. MRI revealed an intracerebral AVM measuring 3.5 x 3.0cm in the left temporal lobe. Cesarean section was carried out under general anesthesia and epidural anesthesia to prevent the rise of blood pressure and intracranial pressure owing to stress of delivery and labor pain. Intermittent injection of nicardipine was quite effective to control the hypertension during anesthesia.
MINOR MESH HEADINGS: Adult-; Cerebral-Hemorrhage-prevention-and-control; English-Abstract; Hypertension-prevention-and-control; Intraoperative-Complications-prevention-and-control; Nicardipine-administration-and-dosage; Pregnancy-
MAJOR MeSH HEADINGS: *Anesthesia,-Epidural; *Anesthesia,-General; *Anesthesia,-Obstetrical; *Cesarean-Section; *Intracranial-Arteriovenous-Malformations; *Pregnancy-Complications,-Cardiovascular
CHECKTAGS: Case-Report; English-Abstract; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
CAS REGISTRY NUMBER OR EC NUMBER: 55985-32-5
NAME OF SUBSTANCE: Nicardipine
MEDLINE ACCESSION NUMBER: 96143904
UPDATE CODE: 199605
Record 19 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: [Clinical study on the intracranial arteriovenous malformation associated with pregnancy]
AUTHOR(S): Fujita-K; Tsunoda-H; Shigemitsu-S; Kubo-T
ADDRESS OF AUTHOR: Department of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki.
SOURCE (BIBLIOGRAPHIC CITATION): Nippon-Sanka-Fujinka-Gakkai-Zasshi. 1995 Dec; 47(12): 1359-64
INTERNATIONAL STANDARD SERIAL NUMBER: 0300-9165
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: JAPANESE; NON-ENGLISH
COUNTRY OF PUBLICATION: JAPAN
ABSTRACT: We studied twelve pregnancies in nine patients with arteriovenous malformation (AVM) managed at our hospital from January, 1984 to March, 1993. Three of the cases were diagnosed as subarachnoidal hemorrhage (SAH) and one as epilepsy during pregnancy. The AVM was resected surgically in two ruptured cases during pregnancy, and the fetus was delivered vaginally. In the other case of ruptured AVM delivery was by elective cesarean section. In the non-ruptured case delivery was vaginal. Two of the six patients who took an anticonvulsant developed hemolytic anemia, and one baby was born with a cleft lip and palete. We next retrospectively investigated 42 women who were followed up for AVM at the department of neurosurgery in our hospital from January, 1978 to March, 1995. Three pregnancies of a total of 46 pregnancies were complicated by a cerebral hemorrhage. The hemorrhage rate during pregnancy for women with unruptured AVM was 0.065 +/- 0.036 per person per year. There was no significant difference between the hemorrhage rate for pregnant women and that for nonpregnant women of childbearing age, and the risk for rupture of AVM was not increased in pregnancy.
MINOR MESH HEADINGS: Adolescence-; Adult-; English-Abstract; Intracranial-Arteriovenous-Malformations-surgery; Pregnancy-; Pregnancy-Outcome; Retrospective-Studies; Rupture,-Spontaneous; Subarachnoid-Hemorrhage-surgery
MAJOR MeSH HEADINGS: *Intracranial-Arteriovenous-Malformations; *Pregnancy-Complications,-Cardiovascular
CHECKTAGS: English-Abstract; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 96137062
UPDATE CODE: 199605
Record 20 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: Arteriovenous malformation in the pregnant patient: a case study.
AUTHOR(S): Newton-CL; Bell-SD
ADDRESS OF AUTHOR: Ohio State University Medical Center, Columbus 43210, USA.
SOURCE (BIBLIOGRAPHIC CITATION): J-Neurosci-Nurs. 1995 Apr; 27(2): 109-12
INTERNATIONAL STANDARD SERIAL NUMBER: 0888-0395
PUBLICATION YEAR: 1995
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: Subarachnoid hemorrhage (SAH) due to ruptured arteriovenous malformation (AVM) or aneurysm accounts for 4.4% of all maternal deaths. It is the third most common nonobstetric cause of maternal death. Significant differences, such as timing of the initial bleed and rebleeding, exist between aneurysmal and AVM related SAH. Increased risk of AVM related SAH appears to correlate with the augmented cardiac output of pregnancy, as well as with other coagulation, hemodynamic and endocrinological changes. These changes usually occur between 20 weeks gestation and 6 weeks postpartum. All suspicious neurological signs and symptoms in the gravid patient should be thoroughly evaluated. Although the nursing care of the pregnant patient with an AVM is similar to that of nonpregnant patients, there are specific clinical observations that are relevant to these patients.
MINOR MESH HEADINGS: Adolescence-; Aneurysm,-Ruptured-nursing; Gestational-Age; Infant,-Newborn; Neurologic-Examination; Nursing-Assessment; Pregnancy-; Subarachnoid-Hemorrhage-nursing
MAJOR MeSH HEADINGS: *Intracranial-Arteriovenous-Malformations-nursing; *Pregnancy-Complications,-Cardiovascular-nursing
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 95348609
UPDATE CODE: 199511
SUBSET: NURSING
Record 21 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: Syndactyly and intracranial arteriovenous malformation: case report.
AUTHOR(S): Sekhon-LH; Morgan-MK; Johnston-IH
ADDRESS OF AUTHOR: Department of Surgery, University of Sydney, New South Wales, Australia.
SOURCE (BIBLIOGRAPHIC CITATION): Br-J-Neurosurg. 1994; 8(3): 377-80
INTERNATIONAL STANDARD SERIAL NUMBER: 0268-8697
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: ENGLAND
ABSTRACT: A case of a 14-year-old boy with syndactyly of all limbs and intracranial dural arteriovenous malformation (AVM) is presented. A failure of differentiation of cerebral vessels, possibly at 3 weeks gestational age, is discussed along with several alternative theories relating to the pathogenesis of dural AVMs. The embryogenesis of syndactyly, occurring as an arrest of normal interdigital tissue regression at 5-7 weeks gestational age, is also reviewed. It is postulated that a single common intrauterine environmental insult of vascular origin occurring during the second month of gestation, is the reason for their simultaneous manifestation.
MINOR MESH HEADINGS: Adolescence-; Cerebral-Angiography; Dura-Mater-blood-supply; Intracranial-Arteriovenous-Malformations-diagnosis; Pregnancy-; Pregnancy-Trimester,-First; Syndactyly-diagnosis
MAJOR MeSH HEADINGS: *Intracranial-Arteriovenous-Malformations-embryology; *Prenatal-Exposure-Delayed-Effects; *Syndactyly-embryology
CHECKTAGS: Case-Report; Female; Human; Male
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 95032845
UPDATE CODE: 199502
Record 22 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: Arteriovenous malformations that rupture during pregnancy: a management dilemma.
AUTHOR(S): Lanzino-G; Jensen-ME; Cappelletto-B; Kassell-NF
ADDRESS OF AUTHOR: Department of Neurological Surgery, University of Virginia Health Sciences Center, Charlottesville.
SOURCE (BIBLIOGRAPHIC CITATION): Acta-Neurochir-Wien. 1994; 126(2-4): 102-6
INTERNATIONAL STANDARD SERIAL NUMBER: 0001-6268
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: AUSTRIA
ABSTRACT: Intracranial haemorrhage due to rupture of an arteriovenous malformation (AVM) during pregnancy is a rare but serious condition that warrants prompt recognition. Once the diagnosis is made, the management is primarily based on neurosurgical rather than obstetric considerations. Due to its rarity, no definitive guidelines exist, and the best time to perform elective surgery (i.e., at presentation or at completion of the pregnancy) is ill-defined. This report describes three patients recently treated at our institution who had AVMs that ruptured during pregnancy. These cases well summarize the difficulties encountered in treating such patients. The diagnostic as well as the therapeutic implications of this condition are discussed.
MINOR MESH HEADINGS: Adolescence-; Adult-; Aneurysm,-Ruptured-diagnosis; Cerebral-Angiography; Cerebral-Hemorrhage-diagnosis; Cerebral-Hemorrhage-surgery; Combined-Modality-Therapy; Diagnosis,-Differential; Infant,-Newborn; Intracranial-Arteriovenous-Malformations-diagnosis; Magnetic-Resonance-Imaging; Palliative-Care; Pregnancy-; Pregnancy-Complications,-Cardiovascular-diagnosis; Pregnancy-Outcome; Radiosurgery-; Tomography,-X-Ray-Computed
MAJOR MeSH HEADINGS: *Aneurysm,-Ruptured-surgery; *Intracranial-Arteriovenous-Malformations-surgery; *Pregnancy-Complications,-Cardiovascular-surgery
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 94317565
UPDATE CODE: 199410
Record 23 of 23 in MEDLINE EXPRESS (R) 1994-1996
TITLE: Congenital renal arteriovenous malformation in pregnancy presenting with hypertension.
AUTHOR(S): Motta-J; Breslin-DS; Vogel-F; Muecke-EC; Fracchia-JA
ADDRESS OF AUTHOR: Division of Urology, Lenox Hill Hospital, New York, New York.
SOURCE (BIBLIOGRAPHIC CITATION): Urology. 1994 Dec; 44(6): 911-4
INTERNATIONAL STANDARD SERIAL NUMBER: 0090-4295
PUBLICATION YEAR: 1994
LANGUAGE OF ARTICLE: ENGLISH
COUNTRY OF PUBLICATION: UNITED-STATES
ABSTRACT: Congenital renal arteriovenous malformations (AVMs) are rare, with approximately 50 cases reported in the literature. Typically, they are small (1 to 2 cm) and the majority present with hematuria and symptoms and signs of congestive heart failure. Review of the literature revealed only 4 cases reported in pregnant patients and their presentation was with hematuria and rupture of the AVM. We present a case of a young female patient with a 6 cm congenital renal AVM who was otherwise asymptomatic until her first pregnancy, when she developed and presented with symptoms of hypertension and an abdominal bruit. Her symptoms persisted postpartum. Hematuria and rupture of the AVMs were not part of her clinical course. A partial nephrectomy was curative.
MINOR MESH HEADINGS: Adult-; Pregnancy-
MAJOR MeSH HEADINGS: *Arteriovenous-Malformations-complications; *Hypertension,-Renovascular-etiology; *Pregnancy-Complications,-Cardiovascular-etiology; *Renal-Artery-abnormalities; *Renal-Veins-abnormalities
CHECKTAGS: Case-Report; Female; Human
PUBLICATION TYPE: JOURNAL-ARTICLE
MEDLINE ACCESSION NUMBER: 95076609
UPDATE CODE: 199503