Transiently arterialized hemangiomas: relevant clinical and cardiac issues.
Although the majority of hemangiomas of infancy undergo an uncomplicated, predictable course of proliferation followed by involution, a subset of patients sustain a more fastidious course. These include hemangiomas that, at least during part of their life cycle, have a high flow (arterial) component. Hemangiomas with high flow are most frequently located in the liver. These lesions can lead to significant morbidity, with high output cardiac failure. We have identified nonhepatic hemangiomas that have an apparent propensity to develop a high flow element--the parotid, upper arm, scalp, and rarely the upper lip--and present our experience in this report. These lesions appear to behave as transiently "arterialized" hemangiomas.
Blei
Francine
F
Department of Pediatrics, (Divisions of Hematology/Oncology), NYU Medical Center, New York, New York 10016, USA. francine.blei@msnyuhealth.org
Rutkowski
Monika
M
D001165:Arteriovenous Malformations / Q000175:diagnosis* / Q000473:pathology; D049109:Cell Proliferation; D002675:Child, Preschool; D004452:Echocardiography; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis; D006391:Hemangioma / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology; D008954:Models, Biological; D014652:Vascular Diseases / Q000175:diagnosis* / Q000473:pathology; D014965:X-Rays