Early presentation of an extremity arteriovenous malformation

We report a very rare case of a high flow arteriovenous malformation (AVM) of the upper limb that caused high output cardiac failure at birth. There was early transfer of the baby to the care of a multidisciplinary team. After radiological intervention, the arm distal to the malformation became isch...

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Bibliographic Details
Published inBritish journal of plastic surgery Vol. 57; no. 8; pp. 785 - 788
Main Authors Webb, Jill B., O'Brien, Mary, John, Philip R., Nishikawa, Hiroshi
Format Journal Article
LanguageEnglish
Published Oxford Elsevier Ltd 01.12.2004
Elsevier
Subjects
Amputation
Arm - blood supply
Arteriovenous malformation
Arteriovenous Malformations - diagnostic imaging
Arteriovenous Malformations - therapy
Biological and medical sciences
Embolisation
Embolization, Therapeutic - methods
Humans
Infant, Newborn
Male
Medical sciences
Radiography
Sclerotherapy
Skin - blood supply
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tourniquets
Treatment Failure
Sclerotherapy
Embolisation
Arteriovenous malformation
Vascular disease
Treatment
Surgery
Cardiovascular disease
Early
Congenital disease
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Summary:We report a very rare case of a high flow arteriovenous malformation (AVM) of the upper limb that caused high output cardiac failure at birth. There was early transfer of the baby to the care of a multidisciplinary team. After radiological intervention, the arm distal to the malformation became ischaemic and an urgent amputation through the upper-humerus followed. Methods of treatment are discussed, together with a review of results in the literature.
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ISSN:0007-1226
1465-3087
DOI:10.1016/j.bjps.2004.06.029