Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-03T08:48:21.532Z Has data issue: false hasContentIssue false

An intrathoracic arteriovenous malformation discovered as an extremely uncommon reason of neonatal congestive cardiac failure

Published online by Cambridge University Press:  13 August 2009

Sigrun R. Hofmann*
Affiliation:
Department of Pediatrics, Medical Center Carl Gustav Carus, Technical University of Dresden, Dresden, Germany
Matthias Weise
Affiliation:
Department of Internal Medicine, Medical Center Carl Gustav Carus, Technical University of Dresden, Dresden, Germany
Katharina I. Nitzsche
Affiliation:
Department of Gynecology and Obstetrics, Medical Center Carl Gustav Carus, Technical University of Dresden, Dresden, Germany
*
Correspondence to: Dr Sigrun R. Hofmann, Medical Center Carl Gustav Carus, TU Dresden, Childrens Hospital, Building 21, Fetscherstr. 74, 01307 Dresden, Germany. Tel: +49-351-458-18125; Fax: +49-351-458-5358; E-mail: [email protected]

Abstract

Congenital arteriovenous malformations are rare causes of congestive cardiac failure in neonates. The most common sites are in the head and liver, but other sites include the thorax, the abdomen and the limbs. The onset of failure is usually not in the immediate neonatal period, but later on in life, albeit that lesions such as the arteriovenous malformation of the vein of Galen, and other arteriovenous malformations in different locations which produce high flow can present early. We describe here the first case, to the best of our knowledge, of prenatal detection of an intrathoracic arteriovenous malformation producing neonatal cardiac failure, which was successfully treated by surgery postnatally.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. McMahon, WS. Arteriovenous fistulae. In: Garson A Jr (ed.) The Science and Practice of Pediatric Cardiology. Williams & Wilkins, Baltimore, 1998, pp 16771688.Google Scholar
2. Gomes, MM, Bernatz, PE. Arteriovenous fistulas: a review and ten-year experience at the Mayo Clinic. Mayo Clin Proc 1970; 45: 81102.Google ScholarPubMed
3. Soler, P, Mehta, AV, Garcia, OL, et al. Congenital systemic arteriovenous fistula between the descending aorta, azygos vein, and superior vena cava. Chest 1981; 80: 647649.Google Scholar
4. Milstein, JM, Juris, AL. Aortic diastolic pressure decay in congenital arteriovenous malformations. Pediatr Cardiol 1993; 14: 204207.CrossRefGoogle ScholarPubMed
5. Sapire, DW, Lobe, TE, Swischuk, LE, et al. Subclavian-artery-to-innominate-vein fistula presenting with congestive failure in a newborn infant. Pediatr Cardiol 1983; 4: 155157.Google Scholar
6. Gutierrez, FR, Monaco, MP, Hartmann, AF Jr., et al. Congenital arteriovenous malformations between brachiocephalic arteries and systemic veins. Chest 1987; 92: 897899.Google Scholar
7. Romero, M, Pan, M, Suarez de, LJ, et al. [Congenital fistula between the left subclavian artery and the innominate vein. A rare cause of intractable insufficiency in the newborn infant]. Rev Esp Cardiol 1988; 41: 630632.Google ScholarPubMed
8. Evans, K, Jones, TK, Johnston, TA. Novel use of the Amplatzer duct occluder for percutaneous closure of a large subclavian artery to innominate vein fistula in a neonate. Congenit Heart Dis 2006; 1: 4649.Google Scholar
9. Dogan, R, Yilmaz, M, Ozkutlu, S, et al. Congenital subclavian artery to subclavian vein fistula presenting with congestive heart failure in an infant. Pediatr Cardiol 2000; 21: 269270.Google Scholar
10. Holman, E. A study of the complex character of abnormal congenital pulmonary arteriovenous communications. Praxis 1967; 56: 301307.Google Scholar