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Thorax 62:836 doi:10.1136/thx.2006.071852
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Massive pulmonary arteriovenous malformation presenting with tamponading haemothorax

  1. A A Khan1,
  2. I Hunt1,
  3. K Hamdane1,
  4. J Tambiah1,
  5. R P Deshpande1,
  6. J F Reidy2
  1. 1Department of Thoracic Surgery, Guy’s Hospital, Kings College London, UK
  2. 2Department of Interventional Radiology, Guy’s Hospital, Kings College London, UK
  1. Correspondence to:
    MrI Hunt
    Department of Thoracic Surgery, Guy’s Hospital, Kings College London, St Thomas’ Road, London SE1 9RT, UK; ianjhunt{at}gmail.com

    A 71-year-old woman presented with a 1-week history of dyspnoea, right pleuritic chest pain and bilateral ankle oedema. There was no history of cough, fever or haemoptysis. Her body mass index was >30. Her jugular venous pressure was raised with reduced air entry over the right lung base. She was anaemic (haemoglobin 6.8 g/dl, mean corpuscular volume 67) with type II respiratory failure (pH 7.40, oxygen tension 9.30 kPa, carbon dioxide tension 9.32 kPa on 0.5 fraction of inspired oxygen). …