title: Early presentation of an extremity arteriovenous malformation.
abstract: 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.
authors.affiliation: Department of Plastic Surgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B46NH, UK. jillwebb@doctors.org.uk
authors.forename: Jill B
authors.initials: JB
authors.lastname: Webb
authors.forename: Mary
authors.initials: M
authors.lastname: O'Brien
authors.forename: Philip R
authors.initials: PR
authors.lastname: John
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nishikawa
mesh_terms: D000671:Amputation, Surgical; D001132:Arm / Q000098:blood supply*; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011859:Radiography; D012867:Skin / Q000098:blood supply*; D014111:Tourniquets; D017211:Treatment Failure