%0 Journal Article %A Aaron S. Griffin %A Rivindi Gunasena %A Nathan R. Schaefer %A Edmund Kennedy %T An Unusual Cause of Dysphagia: A Large Expectorated Arteriovenous Malformation %D 2015 %J Ochsner Journal %P 203-205 %V 15 %N 2 %X 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. %U https://www.ochsnerjournal.org/content/ochjnl/15/2/203.full.pdf