PMC7327237_01
Telengiectasia in the oral mucosa.
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She had clubbing and also cyanosis in labial mucosa, in the nails and telengiectasia in oral mucosa (Fig. 1).
Chest X-ray in presentation, area of increased density in right middle lobe, arrow.
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Chest X-ray showed homogenous area of increased density with regular borders at the right pulmonary middle lobe (Fig. 2).
Dilated vascular structures of 57 x 33 mm in between right middle and lower lobe arteries and right inferior pulmonary vein in dynamic Chest CT.
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Also an aneurysm of 38 x 32 mm in the sub pleural area at the level of right middle and lower lobe intersection was detected (Fig. 3).
Plug inserted in between right middle and lower lobe arteries and right inferior pulmonary vein in angiography, arrow.
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After the largest AV malformation was embolized with vascular plug in interventional pulmonary angiography (Fig. 4) her symptoms resolved and saturation rose to 95%.
a) Two different AV fistulas detected in blood vessels of the right lower lobe. b) Leak control after the transcatheter closure process with no leak seen.
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AV fistulas with an average of 2 cm in diameter were detected in angiography (Fig. 5a). After closing fistulas by placing transcatheter coils (Fig. 5b), symptoms disappeared and oxygen saturations rose to a level of 94%.