Pulmonary arteriovenous fistula ruptured to pleural cavity in pregnancy.

@article{Freixinet1995PulmonaryAF,
  title={Pulmonary arteriovenous fistula ruptured to pleural cavity in pregnancy.},
  author={Jorge L Freixinet and Manuel Sanchez-Palacios and D Bellido Guerrero and F. Rodr{\'i}guez de Castro and David Gonz{\'a}lez and L{\'e}o Lopez and Miguel Guerra},
  journal={Scandinavian journal of thoracic and cardiovascular surgery},
  year={1995},
  volume={29 1},
  pages={39-41}
}
Congenital pulmonary arteriovenous fistula is frequently associated with hereditary haemorrhagic telangiectasia (Rendu-Osler-Weber disease). With the increased blood flow in pregnancy such fistulas enlarge, occasionally giving rise to haemothorax, which generally has a poor prognosis. A familial case is presented in which massive haemothorax required emergency thoracotomy in the 27th week of pregnancy. 
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