Vol 18, No 2 (2012)
Research paper
Published online: 2012-09-10
Therapeutic problems in patient with hereditary hemorrhagic teleangiectasia and venous thromboembolic disease
Acta Angiologica 2012;18(2):79-85.
Abstract
Rendu-Osler-Weber disease (hereditary hemorrhagic teleangiectasia, HHT) is a dominant disorder that leads
to multiorgan vascular dysplasia, involving teleangiectasias and arteriovenous malformations of the skin, the
nose, lungs, the alimentary tract and the central nervous system. Thromboembolic incidents in patients with
HHT occur rarely, however present serious therapeutic challenge. We present a case of 57-year old male
patient with HHT and lower extremity deep vein thrombosis, complicated with pulmonary embolism in whom
administration of antithrombotic drugs in therapeutic dose resulted in uncontrollable epistaxis. Eventually,
embolization of bleeding vessels enabled the therapy with accurate dosage of anticoagulant drug.
to multiorgan vascular dysplasia, involving teleangiectasias and arteriovenous malformations of the skin, the
nose, lungs, the alimentary tract and the central nervous system. Thromboembolic incidents in patients with
HHT occur rarely, however present serious therapeutic challenge. We present a case of 57-year old male
patient with HHT and lower extremity deep vein thrombosis, complicated with pulmonary embolism in whom
administration of antithrombotic drugs in therapeutic dose resulted in uncontrollable epistaxis. Eventually,
embolization of bleeding vessels enabled the therapy with accurate dosage of anticoagulant drug.
Keywords: hemorrhagic teleangiectasiaRendu-Osler-Weber diseasepulmonary embolismdeep vein thrombosis