Perioperative Management of a Patient with Hereditary Hemorrhagic Telangiectasia and Deep Vein Thrombosis: A Case Report

Abstract

Hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu syndrome, is an autosomal dominant disorder characterized by telangiectasias, frequent episodes of epistaxis, and multiple arteriovenous malformations (AVMs). AVMs can develop in any organ and may lead to serious consequences such as embolic complications and high-output cardiac failure. The bleeding tendency of these patients should be considered during surgical procedures. In addition, although it is not common, HHT patients may also have a risk of venous thromboembolism.Here, we present the perioperative management of a man with the coexistence of HHT and deep vein thrombosis, conditions predisposing him both to a bleeding tendency and to thromboembolic risk as well.