title: Regression of a large congenital hepatic arteriovenous malformation.
abstract: Congenital hepatic arteriovenous malformations are rarely seen in association with persistent neonatal pulmonary hypertension. We report the case of a full-term female newborn who presented with heart failure and respiratory distress soon after birth. Echocardiographic investigation revealed severe persistent pulmonary hypertension and patent ductus arteriosus. Here we report spontaneous regression in size of both the feeder vessel and the vascular bed of the congenital hepatic arteriovenous malformation. We postulate that our conservative use of oral heart failure therapy, in the form of diuretic agents and captopril, decreased the congestion and diameter of the affected vessels.
authors: Hala Mounir
authors: HM
authors: Agha
authors: Rania
authors: R
authors: Zakaria
authors: Fatma Alzahraa
authors: FA
authors: Mostafa
authors: Hala
authors: H
authors: Hamza
mesh_terms: D001165:Arteriovenous Malformations / Q000150:complications* / Q000175:diagnosis; D002216:Captopril / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D005260:Female; D005665:Furosemide / Q000627:therapeutic use; D006333:Heart Failure / Q000188:drug therapy / Q000209:etiology*; D006503:Hepatic Veins / Q000473:pathology; D006801:Humans; D006984:Hypertrophy; D007231:Infant, Newborn; D008099:Liver / Q000098:blood supply*; D010547:Persistent Fetal Circulation Syndrome / Q000209:etiology*; D012075:Remission, Spontaneous
chemical_list: D004232:Diuretics; D005665:Furosemide; D002216:Captopril
keywords: Arteriovenous malformations/diagnosis/hepatic/therapy; captopril/therapeutic use; diagnosis, differential; diuretics/therapeutic use; heart failure/etiology/drug therapy; infant, newborn; pulmonary hypertension, persistent; remission, spontaneous; venous thrombosis