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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: sigrun.hofmann@uniklinikum-dresden.de

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

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