RT Journal Article
SR Electronic
T1 An Unusual Cause of Dysphagia: A Large Expectorated Arteriovenous Malformation
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 203
OP 205
VO 15
IS 2
A1 Aaron S. Griffin
A1 Rivindi Gunasena
A1 Nathan R. Schaefer
A1 Edmund Kennedy
YR 2015
UL http://www.ochsnerjournal.org/content/15/2/203.abstract
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.