title: Retroperitoneal arteriovenous malformation, a rare cause of heart failure in infancy: consideration of therapeutic approaches.
abstract: We report an infant presenting with congestive heart failure secondary to a large retroperitoneal arteriovenous (AV) malformation. The heart failure was treated by catheter embolization of the feeding arterial vessels with Ivalon particles. Following resolution of the heart failure, a residual avascular mass remained. A biopsy revealed the diagnosis of an undifferentiated sarcoma that was successfully treated with chemotherapy and surgery.
authors.affiliation: Division of Pediatric Cardiology, Duke University Medical Center, Durham, NC 27710.
authors.forename: P G
authors.initials: PG
authors.lastname: Israel
authors.forename: B E
authors.initials: BE
authors.lastname: Armstrong
authors.forename: E L
authors.initials: EL
authors.lastname: Effman
authors.forename: G E
authors.initials: GE
authors.lastname: Newman
authors.forename: P A
authors.initials: PA
authors.lastname: Anderson
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001165:Arteriovenous Malformations / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006333:Heart Failure / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007223:Infant; D011145:Polyvinyls; D012186:Retroperitoneal Neoplasms / Q000150:complications / Q000628:therapy; D012187:Retroperitoneal Space / Q000098:blood supply; D012509:Sarcoma / Q000150:complications / Q000628:therapy
chemical_list: D011145:Polyvinyls; C026699:ivalon sponge