Advertisement

Pediatric Cardiology

, Volume 14, Issue 1, pp 58–61 | Cite as

Pulmonary arteriovenous malformation in the newborn: A familial case

  • Steven W. Allen
  • Jonathan M. Whitfield
  • David R. Clarke
  • Eva Sujansky
  • James W. Wiggins
Case Reports
  • 52 Downloads

Summary

Pulmonary arteriovenous malformation (PAVM) is a rare cause of cyanosis in the newborn with nine previously reported cases. Typical signs at presentation include cyanosis, murmur, and congestive heart failure. Abnormality on chest x-ray is common with cardiomegaly, oligemia, and focal pulmonary density. There is a male predominance, unlike older children and adults with PAVM. Familial cases of PAVM have been reported with Osler-Weber-Rendu syndrome. We report a familial case of PAVM presenting in the newborn.

Key Words

Pulmonary arteriovenous malformation Newborn Cyanosis Osler-Weber-Rendu syndrome 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Burke CM, Safai C, Nelson DP, Raffin TA (1986) Pulmonary arteriovenous malformation: A critical update.Am Rev Respir Dis 134:334–339Google Scholar
  2. 2.
    Clarke CP, Goh TH, Blackwood A, Venables AW (1976) Massive pulmonary arteriovenous fistula in the newborn.Br Heart J 38:1029–1095Google Scholar
  3. 3.
    Crosby IK (1975) Pulmonary arteriovenous fistula and patent ductus in the newborn infant.J Pediatr 86:986–987Google Scholar
  4. 4.
    Dines DD, Deward JB, Bernatz PE (1983) Pulmonary arteriovenous fistulas.Mayo Clin Proc 58:176–181Google Scholar
  5. 5.
    Fried R, Amberson JB, O'Loughlin JE, Cruz SB, Sinderman KW, Firpo AB, Engle MA (1982) Congenital pulmonary arteriovenous fistula producing arterial steal syndrome.Pediatr Cardiol 2:313–318Google Scholar
  6. 6.
    Gula G, Nakvi A, Radley-Smith R, Yacoub M (1981) The spectrum of pulmonary arteriovenous fistulae. Clinico-pathological correlations.Thorac Cardiovasc Surg 29:51–54Google Scholar
  7. 7.
    Hall RJ, Nelson WP, Blake HA, Geiger JP (1965) Massive pulmonary arteriovenous fistula in the newborn. A correctable form of cyanotic heart disease; an additional cause of cyanosis with left axis deviation.Circulation 31:762–767Google Scholar
  8. 8.
    Milovic I, Oluic D (1989) Congenital pulmonary arteriovenous fistula with hemothorax in a neonate.Z Kinderchir 44: 109–110Google Scholar
  9. 9.
    Shumaker HB, Waldhausen JA (1963) Pulmonary arteriovenous fistulas in children.Ann Surg 158:713–719Google Scholar
  10. 10.
    Taylor GA (1983) Pulmonary arteriovenous malformation: An uncommon cause for cyanosis in the newborn.Pediatr Radiol 13:339–341Google Scholar
  11. 11.
    Utzon F, Brandrup F (1973) Pulmonary arteriovenous fistulas in children.Acta Paediatr Scand 62:422–432Google Scholar
  12. 12.
    Vincent RN, Casiro OG, Pelech AN, Collins GFN (1986) Evaluation of pulmonary vascular resistance in the presence of a large pulmonary arteriovenous malformation.J Am Coll Cardiol 7:1104–1106Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1993

Authors and Affiliations

  • Steven W. Allen
    • 1
  • Jonathan M. Whitfield
    • 1
  • David R. Clarke
    • 2
  • Eva Sujansky
    • 1
  • James W. Wiggins
    • 1
  1. 1.Department of PediatricsUniversity of Colorado Health Science CenterDenverUSA
  2. 2.Department of Cardiothoracic SurgeryUniversity of Colorado Health Science CenterDenverUSA

Personalised recommendations