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Updated: May 24, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Anaesthetic management of a child with massive extracranial arteriovenous malformation
Faisal Shamim1, Hameed Ullah, Azhar Rehman
1Department of Anaesthesia, Aga Khan University, Karachi, Pakistan.
Insights
Arteriovenous malformations (AVMs) are rare vascular tumors. This case study details the successful angioembolization management of a massive extracranial AVM in a child with heart and breathing issues.
Area of Science:
- Vascular Surgery
- Pediatric Cardiology
- Interventional Radiology
Background:
- Vascular tumors are common in the head and neck, but arteriovenous malformations (AVMs) are rare.
- Vascular malformations are congenital and often become significant in childhood.
- Embolization is a primary treatment for complex and massive AVMs.
Observation:
- A 7-year-old boy presented with a massive extracranial AVM.
- The AVM caused significant right heart workload and respiratory distress.
- Management involved angioembolization under general anesthesia.
Findings:
- Successful angioembolization was performed for the massive extracranial AVM.
- The case highlights the anesthetic considerations for pediatric patients with complex vascular malformations.
- This intervention addressed life-threatening cardiac and respiratory compromise.
Implications:
- Angioembolization is an effective treatment for massive extracranial AVMs in children.
- Careful anesthetic management is crucial for these complex pediatric cases.
- Early diagnosis and intervention can prevent severe complications of AVMs.
Abstract:
Vascular tumors affect the head and neck commonly but arteriovenous malformations are rare. Vascular malformations are often present at birth and grow with the patient, usually only becoming significant later in childhood. Embolization has been the mainstay of treatment in massive and complex arteriovenous malformations. We present a case of massive extracranial arteriovenous malformation in a 7-year-old boy causing significant workload on right heart and respiratory distress. The management of angioembolization under general anaesthesia and anaesthetic concerns are presented.
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