DOI QR코드

DOI QR Code

Treatment of Large Arteriovenous Malformation in Right Lower Limb

  • Lee, Young Ok (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University School of Medicine) ;
  • Hong, Seong Wook (Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine)
  • Received : 2013.06.19
  • Accepted : 2013.10.24
  • Published : 2014.02.05

Abstract

A 10-year-old boy with arteriovenous malformation (AVM) of the right lower limb was scheduled for an amputation of the affected limb. Limb amputation was necessary because of the ineffectiveness of previous sclerotherapy and the rapid progression of AVM causing pain and heart failure. Right hip disarticulation was considered the best option to improve his quality of life. To prevent congestive heart failure and uncontrollable hemorrhage during surgery, the disarticulation was done under a partial cardiopulmonary bypass. The patient underwent surgery successfully without complications.

Keywords

References

  1. Duncan JM, Cooley DA, Vargo TA, Gutgesell HP. Successful surgical management of congenital arteriovenous fistula of the subclavian artery: case report. Cardiovasc Dis 1978;5:139-43.
  2. Ching AS, Chan PN, Cheung H, Chan YL, Metreweli C. CT and DSA appearances of a ruptured congenital arteriovenous malformation of the posterior mediastinal aorta. Br J Radiol 2000;73:1320-2. https://doi.org/10.1259/bjr.73.876.11205678
  3. Lee BB, Do YS, Yakes W, Kim DI, Mattassi R, Hyon WS. Management of arteriovenous malformations: a multidisciplinary approach. J Vasc Surg 2004;39:590-600. https://doi.org/10.1016/j.jvs.2003.10.048
  4. Anoop TM, Sreejith P, Thomas JK, et al. Congenital subclavian arteriovenous malformation causing cardiac failure in an adult. J Am Soc Echocardiogr 2009;22:864.e5-6.
  5. Ismail MS, Sharaf I, Thambidorai CR, et al. Cardiopulmonary bypass in surgery for complex-combined vascular malformation of the lower limb: case report. Pediatr Surg Int 2005;21:392-5. https://doi.org/10.1007/s00383-005-1367-z
  6. McCready RA, Fehrenbacher JW, Divelbiss JL, Bryant A, Savader S. Surgical resection of a large recurrent pelvic arteriovenous malformation using deep hypothermic circulatory arrest. J Vasc Surg 2004;39:1348-50. https://doi.org/10.1016/j.jvs.2004.02.004
  7. Borow KM, Come PC, Neumann A, Baim DS, Braunwald E, Grossman W. Physiologic assessment of the inotropic, vasodilator and afterload reducing effects of milrinone in subjects without cardiac disease. Am J Cardiol 1985;55:1204-9. https://doi.org/10.1016/0002-9149(85)90664-2
  8. Lee JH, Oh YJ, Shim YH, Hong YW, Yi G, Kwak YL. The effect of milrinone on the right ventricular function in patients with reduced right ventricular function undergoing off-pump coronary artery bypass graft surgery. J Korean Med Sci 2006;21:854-8. https://doi.org/10.3346/jkms.2006.21.5.854

Cited by

  1. Insuffisance cardiaque sur cœur normal révélant une malformation artériole-veineuse complexe du membre inferieur chez un enfant: à propos d’une observation et revue de la vol.31, pp.None, 2014, https://doi.org/10.11604/pamj.2018.31.131.17078