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Diagnosis and management of congenital umbilical arteriovenous malformation

Published online by Cambridge University Press:  02 December 2020

Shweta Bakhru
Affiliation:
Department of Pediatric cardiology, Rainbow Children’s Heart Institute, Hyderabad, India
Vijayanand Jamalpuri
Affiliation:
Department of Neonatology, Rainbow Children’s Hospital, Hyderabad, India
Nageswara Rao Koneti*
Affiliation:
Department of Pediatric cardiology, Rainbow Children’s Heart Institute, Hyderabad, India
*
Author for correspondence: Dr Nageswara Rao Koneti, Department of Pediatric cardiology, Rainbow Children’s Heart Institute, Road No. 10, Banjara Hills, Hyderabad 500034 India. Tel: +91 040 43681000; Fax: +91 40 4466 5555. E-mail: [email protected]

Abstract

An 8-day-old neonate was presented with severe respiratory distress and diagnosed as primary pulmonary hypertension of the newborn on functional echocardiogram. Evaluation showed bounding pulse, enlarged umbilical cord, and bruit over the periumbilical region. Transthoracic echocardiography and CT angiogram showed a large fistulous communication between the umbilical vein and artery suggestive of congenital umbilical arteriovenous malformation leading to high-output cardiac failure and pulmonary artery hypertension. The patient was stabilised with medications and ventilation. Transcatheter closure of communication was done using coils, vascular plug, and KONAR-MFTM device. The patient improved from heart failure soon after the procedure and thriving normally at 6 months of follow-up.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Stenhorn, RH, Abman, SH. Persitent pulmonary hypertension. In:Gleason, CA, Juul, SE (eds). Avery’s Disease of the Newborn, 10th edn. Elsevier 2018: 773774.Google Scholar
Murray, DE, Meyerowitz, BR, Hutter, JJ. Congenital arterio-venous fistual causing congestive heart failure in the newborn. JAMA 1969; 209: 770771. CrossRefGoogle Scholar
Graham, SM, Seashore, JH, Markowitz, RI, et al. Congenital umbilical arteriovenous malformation: a rare cause of congestive heart failure in the newborn. J Pediatr Surg 1989; 24 11441145. CrossRefGoogle ScholarPubMed
Gozar, H, Gozar, L, Badiu, CC, et al. Congenital umbilical arterio-venous malformation: a word of caution. Interact Cardiovasc Thorac Surg 2014; 18: 688689.CrossRefGoogle ScholarPubMed
Han, JW, Kim, HY, Jung, SE. A case report of congenital umbilical arteriovenous malformation complicated with liver failure after surgical excision. Medicine (Baltimore) 2017; 96: e5240.CrossRefGoogle ScholarPubMed
Meyer, M, Barsness, KA. Umbilical arteriovenous malformation: a case report and literature review. Pediatr Surg Int 2013; 29: 851853.CrossRefGoogle ScholarPubMed
Marcelo Boglione, MD, Alessandro, P, Reusmann, A, et al. Umbilical arteriovenous malformation in a healthy neonate with umbilical hernia. J Neonatal Surg 2013; 2: 35.CrossRefGoogle Scholar