Retroperitoneal arteriovenous malformation, a rare cause of heart failure in infancy: consideration of therapeutic approaches.
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.
Israel
P G
PG
Division of Pediatric Cardiology, Duke University Medical Center, Durham, NC 27710.
Armstrong
B E
BE
Effman
E L
EL
Newman
G E
GE
Anderson
P A
PA
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
D011145:Polyvinyls; C026699:ivalon sponge