Volume 75, Issue 3 (June 2017)                   Tehran Univ Med J 2017, 75(3): 235-239 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Tabasizadeh H, Salehi F, Eslami Moayyed M, Eslami Moayyed M. A newborn infant with congenital cerebral arteriovenous malformation, and congestive heart failure: case report. Tehran Univ Med J. 2017; 75 (3) :235-239
URL: http://tumj.tums.ac.ir/article-1-8101-en.html
1- Department of Pediatrics, Chamran Hospital, Birjand University of Medical Sciences, Ferdos, Iran. , ht_tabasizadeh@yahoo.com
2- Department of Pediatrics Cardiology, Vali-e Asr Hospital, Birjand University of Medical Sciences, Birjand, Iran.
3- Department of Obstetrics and Gynecology, Chamran Hospital, Birjand University of Medical Sciences, Ferdos, Iran.
4- Department of Neurology, Shohadaye Haft-e-tir Hospital, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (6183 Views)

Background: Cerebral arteriovenous malformations are rare congenital anomalies presenting as different symptoms depending on their size and the age of patient. Congestive heart failure is a rare condition in neonatal period and is most common due to structural heart defects, but rarely may be a result of peripheral shunts such as cerebral arteriovenous malformation.

Case presentation: A term male newborn infant who was delivered by Caesarean Section in Chamran Hospital, Ferdows, South Khorasan Province, June 2016. The infant was admitted to neonatal care unit due to nonreactive nonstress (NST) with normal Apgar score. In first postpartum visit, a systolic heart murmur was detected. Echocardiography showed small atrial septal defect secundum type and patent foramen ovale (PFO). He presented clinical manifestations of heart failure after 72 hours of birth. Antibiotic and treatment of heart failure was started. Following excluding most common etiologies of heart failure such as sepsis, anemia and arrhythmias, for detecting less common conditions such as cerebral vascular aneurism a transfontanelle ultrasonography was performed which showed dilated cerebral venous system. Magnetic resonance imaging (MRI) and Magnetic resonance venography (MRV) revealed a large congenital cerebral arterio-venous malformation (CAVM), in right cerebral hemisphere. Finally, he was expired 9 days after birth due to severe heart failure before any definitive treatment for closing CAVM could be done. 

Conclusion: CAVM are extremely rare vascular anomalies in newborns which may present occasionally as congestive heart failure in neonatal period. So after excluding other most common etiologies of heart failure such as structural heart defects, screening CAVMs should be done. Inspite of early diagnosis, usually they have extremely poor prognosis.

Full-Text [PDF 290 kb]   (2150 Downloads)    
Type of Study: Case Report |

Add your comments about this article : Your username or Email:

Send email to the article author

© 2020 All Rights Reserved | Tehran University Medical Journal TUMS Publications

Designed & Developed by : Yektaweb