Cerebral arteriovenous fistula producing cardiac failure in the newborn infant

1958 ◽  
Vol 53 (6) ◽  
pp. 731-736 ◽  
Author(s):  
Adrian Q. Pollock ◽  
Patricia A. Laslett
PEDIATRICS ◽  
1969 ◽  
Vol 44 (6) ◽  
pp. 1024-1028
Author(s):  
P. B. Deverall ◽  
J. F. N. Taylor ◽  
G. S. Sturrock ◽  
Eoin Aberdeen

Hemodynamic signs of coarctation of the aorta were present in a neonate dying in cardiac failure. A cerebral arteriovenous fistula was found at autopsy. No obstructive lesion of the aortic arch was present. Development of the aortic isthmus may be impaired if diminished flow through this segment is present. Reduced flow may be present if most of the systemic output is diverted to a fistula proximal to the isthmus, distal systemic flow being maintained by flow from right-to-left through the ductus arteriosus. Spontaneous duct closure after birth may then be followed by a reduction in distal systemic flow, resulting in signs suggestive of coarctation.


1971 ◽  
Vol 10 (6) ◽  
pp. 309-311 ◽  
Author(s):  
Cecille O. Sunderland ◽  
Clarence L. Morgan ◽  
Martin H. Lees

2018 ◽  
Vol 71 (6) ◽  
pp. 896-903
Author(s):  
Amtul Aala ◽  
Sairah Sharif ◽  
Leslie Parikh ◽  
Paul C. Gordon ◽  
Susie L. Hu

PEDIATRICS ◽  
1970 ◽  
Vol 46 (3) ◽  
pp. 464-468
Author(s):  
Karen S. Kuehl ◽  
Lowell W. Perry ◽  
Roma Chandra ◽  
Lewis P. Scott

A newborn infant with cardiac failure resulting from a rhabdomyoma of the left ventricle obstructing the aortic outflow tract is described. Mild subvalvular pulmonary stenosis was also present because of a tumor in the ventricular septum. Tuberous sclerosis occurs in at least half of infants with such tumors and was present pathologically in this child, although not apparent clinically. Rhabdomyomas must be considered in the differential diagnosis of heart disease in the newborn infant and may be associated with tuberous sclerosis even when nervous system and cutaneous signs are not present.


2004 ◽  
Vol 43 (5) ◽  
pp. e21.1-e21.6 ◽  
Author(s):  
Jennifer M MacRae ◽  
Sanjay Pandeya ◽  
Dennis P Humen ◽  
Nikolai Krivitski ◽  
Robert M Lindsay

2021 ◽  
Vol 8 (2) ◽  
pp. 176
Author(s):  
OlugbengaOlalekan Ojo ◽  
UvieUfuoma Onakpoya ◽  
AnthonyOlubunmi Akintomide ◽  
AnthonyTaiwo Adenekan

2020 ◽  
Vol 13 (2) ◽  
pp. e233669 ◽  
Author(s):  
James Leon Hartley ◽  
Asheesh Sharma ◽  
Lamis Taha ◽  
Thomas Hestletine

A 32 year-old woman was admitted to our institution with progressive dyspnoea. Her medical history was notable for end-stage renal failure secondary to chronic pyelonephritis, and she had undergone a cadaveric renal transplant in 2010. This had been preceded by haemodialysis treatment via a radiocephalic arteriovenous fistula. Her diagnostic evaluation was remarkable for pulmonary hypertension. A subsequent doppler ultrasound of her arteriovenous fistula revealed a blood flow of 3 L/min. This is consistent with a high output fistula. Echocardiography demonstrated an improvement in pulmonary artery pressure with occlusion of the fistula. After multidisciplinary discussion, a decision was made to surgically tie off her fistula. The patient experienced immediate improvement in her shortness of breath along with resolution of pulmonary hypertension on echocardiography. This case highlights the rare complication of high output cardiac failure from a dialysis fistula and its successful surgical management.


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