PT - JOURNAL ARTICLE AU - Aaron S. Griffin AU - Rivindi Gunasena AU - Nathan R. Schaefer AU - Edmund Kennedy TI - An Unusual Cause of Dysphagia: A Large Expectorated Arteriovenous Malformation DP - 2015 Jun 20 TA - Ochsner Journal PG - 203--205 VI - 15 IP - 2 4099 - http://www.ochsnerjournal.org/content/15/2/203.short 4100 - http://www.ochsnerjournal.org/content/15/2/203.full SO - Ochsner J2015 Jun 20; 15 AB - Background Vascular malformations are generally detected in childhood or adolescence with first presentations in adulthood being rare.Case Report We report the case of a 52-year-old female with threatened compromise of her airway after expectorating a massive arteriovenous malformation anchored at the supraglottis. The only preceding symptom was dysphagia. The lesion was resected, the patient had a quick recovery, and she has shown no evidence of recurrence.Conclusion Although uncommon, vascular malformations of the supraglottis or hypopharynx should be considered in the differential diagnosis of a patient presenting with dysphagia because of the potential to cause disastrous airway compromise. Although a lesion presenting acutely mandates a definitive airway plan, when clinically possible, computed tomography scan and indirect laryngoscopy can provide useful information for the airway and operative teams.