Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-27T08:49:56.090Z Has data issue: false hasContentIssue false
  • English
  • Français

Diagnosis and management of congenital umbilical arteriovenous malformation

Published online by Cambridge University Press:  02 December 2020

Shweta Bakhru Open the ORCID record for Shweta Bakhru [Opens in a new window] ,
Vijayanand Jamalpuri  and
Nageswara Rao Koneti Open the ORCID record for Nageswara Rao Koneti [Opens in a new window]
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: drkoneti@yahoo.com
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Arteriovenous malformationumbilical anomalieshigh-output failureendovascular therapy
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 3 , March 2021 , pp. 493 - 495
Check for updates
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Stenhorn, RH, Abman, SH. Persitent pulmonary hypertension. In:Gleason, CA, Juul, SE (eds). Avery’s Disease of the Newborn, 10th edn. Elsevier 2018: 773–774.Google Scholar
Murray, DE, Meyerowitz, BR, Hutter, JJ. Congenital arterio-venous fistual causing congestive heart failure in the newborn. JAMA 1969; 209: 770–771. 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 1144–1145. 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: 688–689.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: 851–853.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