Heart failure caused by congenital hepatic hemangioma complicated with arteriovenous fistula in a neonate.
10.7499/j.issn.1008-8830.2306082
- Author:
Yue HE
1
;
Song SUN
;
Lin YANG
;
Jian-Guo ZHOU
1
;
Rong ZHANG
1
;
Lan ZHANG
1
Author Information
1. Department of Neonatology, Children's Hospital of Fudan University/National Children's Medical Center, Shanghai 201102, China.
- Publication Type:Journal Article
- Keywords:
Heart failure;
Hepatic arteriovenous fistula;
Hepatic hemangioma;
Neonate
- MeSH:
Female;
Humans;
Infant, Newborn;
Pregnancy;
Activin Receptors, Type II;
Arteriovenous Fistula/complications*;
Dyspnea;
Heart Failure/etiology*;
Hemangioma/complications*;
Liver
- From:
Chinese Journal of Contemporary Pediatrics
2023;25(8):884-888
- CountryChina
- Language:Chinese
-
Abstract:
The three-day-old female infant was admitted to the hospital due to respiratory distress after birth. She was born premature at 36+2 weeks gestational age. Prenatal ultrasound suggested abnormal development of the fetal liver vessels, and she had dyspnea that required respiratory support after birth. Chest X-ray indicated an enlarged cardiac silhouette, and cardiac ultrasound revealed enlargement of the right atrium and right ventricle. Diagnosis of hepatic hemangioma with arteriovenous fistula was confirmed through liver ultrasound and abdominal enhanced CT. At 19 days old, she underwent ligation of the hepatic artery under general anesthesia, which led to an improvement in cardiac function and she was subsequently discharged. Genetic testing revealed a mutation in the ACVRL1 gene, which was inherited from the mother. The article primarily introduces a case of neonatal heart failure caused by hepatic hemangioma with arteriovenous fistula, and multi-disciplinary diagnosis and treatment of this disease.
