Regression of a large congenital hepatic arteriovenous malformation.

Autor: Agha HM, Zakaria R, Mostafa FA, Hamza H
Jazyk: angličtina
Zdroj: Texas Heart Institute journal [Tex Heart Inst J] 2015 Apr 01; Vol. 42 (2), pp. 184-7. Date of Electronic Publication: 2015 Apr 01 (Print Publication: 2015).
DOI: 10.14503/THIJ-13-3660
Abstrakt: Congenital hepatic arteriovenous malformations are rarely seen in association with persistent neonatal pulmonary hypertension. We report the case of a full-term female newborn who presented with heart failure and respiratory distress soon after birth. Echocardiographic investigation revealed severe persistent pulmonary hypertension and patent ductus arteriosus. Here we report spontaneous regression in size of both the feeder vessel and the vascular bed of the congenital hepatic arteriovenous malformation. We postulate that our conservative use of oral heart failure therapy, in the form of diuretic agents and captopril, decreased the congestion and diameter of the affected vessels.
Databáze: MEDLINE