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

2009 ◽  
Vol 19 (5) ◽  
pp. 530-533 ◽  
Author(s):  
Sigrun R. Hofmann ◽  
Matthias Weise ◽  
Katharina I. Nitzsche
Keyword(s):  
Arteriovenous Malformation ◽  
Cardiac Failure ◽  
Arteriovenous Malformations ◽  
Neonatal Period ◽  
High Flow ◽  
Congestive Cardiac Failure ◽  
Vein Of Galen ◽  
Prenatal Detection ◽  
First Case

AbstractCongenital 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.

scholarly journals Stenting of a Venous Stenosis in Vein of Galen Aneurysmal Malformation

2001 ◽  
Vol 7 (3) ◽  
pp. 237-240 ◽  
Author(s):  
S. Brew ◽  
W. Taylor ◽  
A. Reddington
Keyword(s):  
Cardiac Failure ◽  
Neonatal Period ◽  
Jugular Bulb ◽  
Venous Hypertension ◽  
High Flow ◽  
Arteriovenous Shunt ◽  
Vein Of Galen ◽  
Venous Outflow ◽  
Venous Stenosis ◽  
Parenchymal Damage

The vein of Galen aneurysmal malformation (VGAM) is a high flow arteriovenous shunt at the choroidal level. In the neonatal period, it typically presents with cardiac failure. Venous stenoses, occlusions and anomalies are often present. In the absence of adequate venous outflow pathways, severe, irreversible cerebral parenchymal damage may occur due to intracranial venous hypertension, altered hydrodynamics and ischaemia. We present a case of deployment of a stent across a focal superior jugular bulb stenosis in an effort to avert this outcome.

Quantified Partial Embolisation in a Vein of Galen Malformation with Congestive Cardiac Failure

1996 ◽  
Vol 2 (2) ◽  
pp. 149-154 ◽  
Author(s):  
M. Moersdorf ◽  
P. Lasjaunias
Keyword(s):  
Cardiac Failure ◽  
Guide Wire ◽  
Paediatric Population ◽  
High Flow ◽  
Congestive Cardiac Failure ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Diastolic Velocity ◽  
Morphological Criteria ◽  
Feeding Vessels

The aim of the study was to quantify embolisation in a vein of Galen malformation by intraluminal measurements of flow velocities in the feeding vessels and to test a new 0.014-inch Doppler guide wire in the paediatric population. The examination was performed in a seven month old boy who presented with a vein of Galen malformation combined with congestive cardiac failure from birth. The measurements showed a decrease of the systolic and diastolic velocities and an increase in the effective downstream vascular resistance after closure of the high flow fistula. The decrease of the diastolic velocities after embolisation was more prominent because of the reduction of the sump effect responsible for the high diastolic velocity before embolisation. The reduction of about 40% of the vein of Galen malformation estimated with morphological criteria was associated with a decrease of the diastolic velocity in the basilar artery of about 50%. The clinical improvement led to the discontinuance of most of the cardiac treatment over a few days. These measurements seem to offer the possibility to assess the necessary reduction of the shunt to relieve CCF in a vein of Galen malformation.

Retrograde flow in the distal aortic arch and proximal descending aorta—a clue to presence of a major cerebral arteriovenous malformation

1993 ◽  
Vol 3 (2) ◽  
pp. 161-163 ◽  
Author(s):  
Andrew M. Davis ◽  
Samuel Menahem
Keyword(s):  
Early Diagnosis ◽  
Arteriovenous Malformation ◽  
Cardiac Failure ◽  
Arteriovenous Malformations ◽  
Cerebral Arteriovenous Malformation ◽  
Cranial Ultrasound ◽  
Retrograde Flow ◽  
Cerebral Arteriovenous Malformations ◽  
Descending Aorta ◽  
Satisfactory Outcome

SummaryTwo neonates are described presenting in severe cardiac failure within a few hours of birth. Echocardiography and the demonstration by color-coded Doppler of retrograde diastolic flow in the proximal descending aorta suggested the presence of large cerebral arteriovenous malformations. Such lesions were demonstrated by cranial ultrasound. The early diagnosis permitted early intervention, albeit with less than satisfactory outcome.

scholarly journals Absence of skin discoloration after transarterial embolization of a subcutaneous auricular arteriovenous malformation with PHIL

2016 ◽  
Vol 22 (5) ◽  
pp. 606-610 ◽  
Author(s):  
Matthijs in ‘t Veld ◽  
Peter WA Willems
Keyword(s):  
Case Report ◽  
Arteriovenous Malformation ◽  
Arteriovenous Malformations ◽  
Normal Skin ◽  
Transarterial Embolization ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Embolic Agent ◽  
First Case ◽  
Posterior Auricular Artery

Background and objective One of the treatment options for arteriovenous malformations consists of embolization, with a choice of various embolic agents, with or without subsequent surgical excision. If embolization is offered without subsequent surgery, the embolic material will stay in situ, in which case the consistency and color become important in superficial lesions. The purpose of this case report is to describe if the use of a novel liquid embolic agent (PHIL) is well suited for treatment of superficial AVMs without subsequent surgery. Case description A 30-year-old male presented with a painful reddish, pulsatile swelling of the left ear that had been present for more than 10 years. Angiography confirmed an arteriovenous malformation supplied by the superficial temporal artery and the posterior auricular artery. The lesion was successfully treated by embolization with PHIL, through the superficial temporal artery. A minute residual shunt, from the posterior auricular artery, was accepted. Immediate disappearance of pulsatile tinnitus was reported. Moreover, return of normal skin color was observed without discomfort from the embolic deposits. This result has been stable throughout one year of clinical follow-up. Conclusion To our knowledge, this is the first case report describing PHIL embolization as a treatment option for superficial arteriovenous malformations without the necessity for subsequent surgery. The white color and rubbery consistency are beneficial characteristics of PHIL in treatment of subcutaneous lesions, especially in cosmetically relevant locations.

Spontaneous arteriovenous malformation of the external auditory meatus

2004 ◽  
Vol 118 (11) ◽  
pp. 912-913 ◽  
Author(s):  
Mallappa Raghu ◽  
Ranit De ◽  
Nicholas Higgins ◽  
Patrick Axon
Keyword(s):  
Arteriovenous Malformation ◽  
Head And Neck ◽  
Arteriovenous Malformations ◽  
English Literature ◽  
Management Strategies ◽  
External Auditory Meatus ◽  
Vascular Supply ◽  
First Case ◽  
Posterior Auricular Artery ◽  
Diagnostic Difficulties

Arteriovenous malformations (AVM) of the head and neck are rare. They usually occur intracranially and derive their vascular supply from the intracranial vessels. In the English literature there has not been any documented case of AVMs in and around the external auditory meatus (EAM). The authors present the first case, a spontaneous AVM deriving its vascular supply from the posterior auricular artery. The diagnostic difficulties and management strategies of spontaneous AVMs are discussed.

Ruptured Arteriovenous Malformation in the Auditory Nerve: Technical Case Report

Neurosurgery ◽  
2005 ◽  
Vol 56 (6) ◽  
pp. E1382-E1382 ◽  
Author(s):  
Soichi Oya ◽  
Toru Matsui ◽  
Akio Asai
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Arteriovenous Malformation ◽  
Auditory Nerve ◽  
Arteriovenous Malformations ◽  
Clinical Presentation ◽  
Cranial Nerves ◽  
Specific Time ◽  
Nerve Bundle ◽  
First Case

Abstract OBJECTIVE AND IMPORTANCE: Arteriovenous malformations in the cranial nerves are very rare, and only one case has been reported in the literature. To our knowledge, this is the first case report of an arteriovenous malformation in the auditory nerve. CLINICAL PRESENTATION: A 30-year-old woman presented with a subarachnoid hemorrhage resulting from rupture of an arteriovenous malformation in the auditory nerve. INTERVENTION: During the operation, the auditory nerve bundle was found to be severely damaged and a nidus was identified inside the bundle. CONCLUSION: Although arteriovenous malformations are thought to arise in the 4th to 8th weeks of gestation, this case might indicate a more specific time of emergence based on embryogenesis of the cranial nerves.

scholarly journals Congenital intrahepatic aorto-portal fistula presenting with cardiac failure

2020 ◽  
Vol 6 (4) ◽  
pp. 20200006
Author(s):  
Adithya Pathanki ◽  
Khalid Sharif ◽  
Ian McCafferty ◽  
Jane Hartley ◽  
Simon McGuirk
Keyword(s):  
Cardiac Failure ◽  
Congenital Heart ◽  
Unusual Case ◽  
Vascular Malformations ◽  
High Flow ◽  
Ductus Venosus ◽  
First Case ◽  
Left And Right ◽  
Portal Veins

Congenital intrahepatic arterio-portal fistulae (cIAPF) are rare, high-flow vascular malformations that usually present with portal hypertension. They almost never cause heart failure, unless there is associated congenital heart disease or the ductus venosus in patent. We present an unusual case of IAPF in an 11-day-old boy, who presented with features of cardiac failure associated with increased N-terminal pro-brain natriuretic peptide (NT pro-BNP). The IAPF arose directly from the aorta, separated from the hepatic artery and divided to separately supply both left and right portal veins. The ductus venosus was occluded. The IAPF was treated with embolization of the aorto-portal fistula, accessed through a direct percutaneous puncture of the fistula. Embolization was associated with an immediate clinical improvement and a rapid and sustained normalization of the NT pro-BNP level. A similar re-presentation was noted and treated with repeat embolization. The child is well on follow-up. To our knowledge, this is the first case of cIAPF, which was presented with cardiac failure when the ductus venosus has closed and has been treated successfully with direct, percutaneous transhepatic embolization of the fistula, twice. Serial clinical follow-up and ultrasonographical examinations have proven to be an effective strategy to detect recurrent fistulae.

scholarly journals Management strategy for facial arteriovenous malformations

2008 ◽  
Vol 41 (02) ◽  
pp. 183-189
Author(s):  
S. P. Bhandari ◽  
L P. Sadhotra ◽  
P. Bhargava ◽  
A. S. Bath ◽  
M. K. Mukherjee ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Arteriovenous Malformations ◽  
Management Strategy ◽  
Complete Resection ◽  
High Flow ◽  
Rapid Progression ◽  
Correct Treatment ◽  
Cosmetic Results ◽  
Vascular Morphogenesis ◽  
Selective Embolisation

ABSTRACTArteriovenous malformations (AVMs) are uncommon errors of vascular morphogenesis; haemodynamically, they are high-flow lesions. Approximately 50% of AVMs are located in the craniofacial region. Subtotal excision or proximal ligation of the feeding vessel frequently results in rapid progression of the AVMs. Hence, the correct treatment consists of highly selective embolisation (super-selective) followed by complete resection 24-48 hours later. We treated 20 patients with facial arteriovenous malformation by using this method. Most of the lesions (80%) were located within the cheek and lip. There were no procedure related complications and cosmetic results were excellent.

De novo formation of large arteriovenous shunting and a vascular nidus mimicking an arteriovenous malformation within an anaplastic oligodendroglioma: treatment with embolization and resection

2008 ◽  
Vol 109 (6) ◽  
pp. 1098-1102 ◽  
Author(s):  
James S. McKinney ◽  
Thomas Steineke ◽  
David Nochlin ◽  
Jonathan L. Brisman
Keyword(s):  
Diagnostic Imaging ◽  
Arteriovenous Malformation ◽  
Arteriovenous Malformations ◽  
De Novo ◽  
Anaplastic Oligodendroglioma ◽  
Intracranial Arteriovenous Malformations ◽  
Arteriovenous Shunting ◽  
First Case ◽  
Arteriovenous Shunts ◽  
Immunohistochemical Testing

The authors report the de novo occurrence and treatment of an arteriovenous lesion within an anaplastic oligodendroglioma in a patient with previously unremarkable brain imaging. Intracranial arteriovenous malformations (AVMs) are believed to be congenitally acquired lesions, and their association with brain neoplasms is extremely rare. Diagnostic imaging revealed a mass lesion with large arteriovenous shunts and a vascular nidus mimicking a true AVM. Histological and immunohistochemical testing showed an anaplastic oligodendroglioma mixed with an AVM. The clinical, radiological, and operative data are reviewed, as are the histopathological findings. To the authors' knowledge this is the first case of de novo occurrence of an arteriovenous lesion with large shunts and a vascular nidus within an anaplastic oligodendroglioma.

An arteriovenous malformation within the internal acoustic meatus and cerebellopontine angle cistern

2011 ◽  
Vol 125 (12) ◽  
pp. 1275-1278 ◽  
Author(s):  
P N Patel ◽  
S Connor ◽  
S Brew ◽  
M J Gleeson
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Arteriovenous Malformation ◽  
Arteriovenous Malformations ◽  
Cerebellopontine Angle ◽  
High Flow ◽  
Internal Auditory Meatus ◽  
Resonance Imaging ◽  
History Of ◽  
Pre Treatment

AbstractObjectives:We report a case of an arteriovenous malformation within the internal auditory meatus and cerebellopontine angle, and we discuss its imaging appearances and management.Case report:A 50-year-old man presented with a two-year history of vertigo. Magnetic resonance imaging and magnetic resonance angiography demonstrated a lesion consisting of multiple ‘high flow’ vessels within the left internal auditory meatus and cerebellopontine angle. Transarterial embolisation was performed, with obliteration of the arteriovenous malformation.Conclusion:Arteriovenous malformations of the internal auditory meatus and cerebellopontine angle are exceedingly rare. It is important that a pre-treatment diagnosis is made, as the management of arteriovenous malformation differs from that of other, more common lesions at this site.

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