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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Neonatal upper limb arteriovenous malformation: a therapeutic challenge
Karthik Kolkur1, Vivek Shriram Murumkar2, Pradeep Suryawanshi1
1Neonatology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India.
BMJ Case Reports
|January 8, 2025
Summary
This case study highlights a neonatal upper limb arteriovenous malformation (AVM) successfully treated with embolization. Early intervention prevented heart failure, improving infant quality of life.
Area of Science:
- Vascular Surgery
- Pediatric Cardiology
- Neonatology
Background:
- Arteriovenous malformations (AVMs) are rare congenital vascular anomalies.
- High-flow AVMs can lead to significant morbidities, including heart failure.
Observation:
- A neonate presented with an upper limb soft tissue mass and high-output heart failure.
- Doppler and MRI confirmed a high-flow arteriovenous malformation in the right upper limb.
Findings:
- The neonate was managed with respiratory support, compression, limb elevation, sirolimus, and percutaneous embolization.
- Post-embolization, swelling reduced, wound healing occurred, and the infant stabilized hemodynamically.
Implications:
- Multidisciplinary team management is crucial for treating upper limb AVMs.
- Obliterating the arteriovenous shunt prevents high-output cardiac failure and enhances quality of life.
- Percutaneous embolization is an effective treatment for neonatal high-flow AVMs.
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