Extracranial Arteriovenous Malformations Rupture in Pregnancy

Azis, Khairul Anuar; Koh, Khai Luen; Sulaiman, Wan Azman Wan; Al-Chalabi, Muath Mamdouh Mahmod

doi:10.7759/cureus.22798

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…A contrast-enhanced computed tomography scan confirmed AVM. The most recent case of an extracranial AVM worsening during pregnancy was reported by Azis et al 7 in 2022, describing a 35-year-old woman with a history of AVM of the forehead since childhood who was admitted to the emergency department with bleeding. During her previous two pregnancies, the lesion had expanded massively in size.…”

Section: Discussionmentioning

confidence: 99%

Microvascular proliferation in arteriovenous malformation of the hand worsens during pregnancy: a case report

Utami¹,

Horbach²,

Meijer-Jorna³

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Arteriovenous malformations (AVMs) are rare congenital disorders characterized by episodes of disproportionate growth that can cause pain and severe bleeding, with microvascular proliferation (MVP) associated with these episodes. Hormonal influences can also worsen the symptoms in patients with AVM. Case presentation: This case report presents a female patient with congenital vascular malformations of the left hand since birth, whose symptoms worsened during puberty and pregnancy, ultimately leading to amputation of the left hand due to unbearable pain and loss of function. Pathologic analysis revealed substantial MVP activity within the tissues of the AVM, with an expression of receptors for estrogen, growth hormone, and follicle-stimulating hormone in the vessels of the AVM, including MVP areas. Resected materials not related to pregnancy revealed chronic inflammation and fibrosis but hardly any MVP. Discussion and conclusion: These findings suggest a role for MVP in the progressive growth of AVM during pregnancy, with a potential role for hormonal influences. The case highlights the relationship between AVM symptoms and size during pregnancy and the pathological findings of MVP areas within the AVM with hormone receptor expression on proliferating vessels in resected materials.

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Section: Discussionmentioning

confidence: 99%

Microvascular proliferation in arteriovenous malformation of the hand worsens during pregnancy: a case report

Utami¹,

Horbach²,

Meijer-Jorna³

et al. 2023

Annals of Medicine &Amp; Surgery

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“…Lime is one of the compounds that can cause sediment or soil to become alkaline, however, in an acidic environment, lime can neutralize soil properties in that environment (Kowalska et al, 2019;Bohlenius et al, 2020). The results of the analysis of soil surface pH at station 3 have a low value (towards acid) caused Azis et al (2022) by the decay of organic matter such as plants and the soil sediment environment. Zhang et al (2017) stated that the acidic nature of the surface soil layer was most likely caused by the decomposition of organic matter in high quantities, the release of organic acids by the decay being absorbed by the soil.…”

Section: Distribution Soil Ph Of To Depthmentioning

confidence: 99%

“…Stations 1 and 2 in the study area indicate that the high CaCO3 is due to the presence of carbonate rocks in their formation. Durand et al (2007) Azis et al (2022) the broad distribution of calcium carbonate-rich soils reflects the various processes that lead to their soil formation. This is supported by the statement of Ford and Williams (2007), carbonate rocks occupy about 10% of the world's soil surface and are important soil parent materials.…”

Section: Distribution Caco3 Of To Depthmentioning

confidence: 99%

Study of Organic Carbon (OC), and Calcium Carbonate (CaCO3) in the coastal area of Aceh Besar

Azis

Irham

Sugianto

2022

Depik

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Most of the coastal areas of Aceh Besar are areas of accumulation of organic compounds, one of which is Organic Carbon (OC). The purpose of this study was to analyze the chemical content by looking vertically at the content of OC, soil pH and Calcium Carbonate (CaCO3) on the coast of Aceh Besar District. Analysis of the OC content using the Walkley and Black method, while to analyze the Calcium Carbonate (CaCO3) using the Titrimetric method. Especially for the analysis of soil pH, only use a pH meter. The results showed that each station had different levels of OC and carbonate. Generally, the presence of OC decreases with depth, while the carbonate content varies. Especially for soil pH, the pH is relative to the alkaline state for each depth. The range of OC content for all stations is 0.18 – 2.48%, Carbonate 5.36 – 13.27% and pH 6.37-8.73.Keywords:CoastalOrganic CarbonCarbonateSoil pH

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“…Studies employing social media data have highlighted high rates of concern about breast implant-related illness, including cardiac illness (6). However, interference of breast implants with cardiac diagnostic procedures is not much debated despite the increasing utilization of these [procedures in women with advancing age, Furthermore, a higher prevalence of atypical presentation of cardiac ischemia in women is well documented which would increase higher utilization of diagnostic cardiac testing (7). Commonly used methods for identifying hemodynamically significant coronary artery disease are radionuclide myocardial perfusion imaging (MPI), single photon emission computed tomography (SPECT), and positron emission tomography (PET) (8).…”

Section: Introductionmentioning

confidence: 99%

Women with breast implants have a higher rate of cardiac catheterization but a lower rate of percutaneous coronary intervention suggesting breast implant interference leads to higher false positive rates of cardiac stress imaging

Movahed,

Irannejad,

Venard

et al. 2023

Preprint

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BackgroundBreast implants cause attenuation during myocardial perfusion imaging (SPECT) and interfere with echocardiographic acoustic windows, which may cause false positive results. We hypothesized that false positive cardiac testing would lead to a lower rate of percutaneous intervention (PCI) in patients with breast implants who underwent cardiac catheterization.MethodsUsing ICD 10 codes for breast implants, cardiac catheterization, and percutaneous coronary interventions, we evaluated any association between these cardiac procedures and older adult women with breast implants.ResultsA total of 1,681,135 women 50 or older underwent cardiac catheterization and 792,760 of them underwent PCI. The total number of patients with breast implants who underwent cardiac catheterization was 1,980 (1.99%). The rate of cardiac catheterization was similar (2.99% vs 3.30%, p= 0.06). However, after multivariate adjustment, women with breast implants had a significantly higher rate of cardiac catheterization (OR: 1.12, CI: 1.00-1.25, P=0.05). Furthermore, women after undergoing cardiac catheterization had a lower unadjusted and adjusted rate of PCI (36.93% vs 47.08%, <0.001, unadjusted OR: 0.66, CI: 0.54-0.80, adjusted OR:0.79, CI: 0.64-0.97, p=0.02). Sensitivity analyses using different age cutoffs showed a similar pattern of findings.ConclusionsWomen with breast implants who underwent cardiac catheterization had significantly lower adjusted rates for PCI consistent with our hypothesis that breast implants may lead to higher false positive rates during cardiac ischemia testing. Therefore, women who consider breast implants should be informed about interference with cardiac diagnostic procedures.

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Extracranial Arteriovenous Malformations Rupture in Pregnancy

Cited by 4 publications

References 8 publications

Microvascular proliferation in arteriovenous malformation of the hand worsens during pregnancy: a case report

Microvascular proliferation in arteriovenous malformation of the hand worsens during pregnancy: a case report

Study of Organic Carbon (OC), and Calcium Carbonate (CaCO3) in the coastal area of Aceh Besar

Women with breast implants have a higher rate of cardiac catheterization but a lower rate of percutaneous coronary intervention suggesting breast implant interference leads to higher false positive rates of cardiac stress imaging

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