Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Recurrent arteriovenous malformation on palate after embolization combined surgical resection: preoperative magnetic resonance features and intraoperative angiographic findings

  • Son, Yong-Hyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Baik, Seung-Kug (Department of Radiology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Kang, Min-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Kim, Yong-Deok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • Received : 2015.07.31
  • Accepted : 2015.10.19
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Angiography is the gold standard for the diagnosis and complete resection of arteriovenous malformations (AVMs). The absence of residual AVM after surgery is commonly believed to reduce the risk of future hemorrhage. However, AVMs can recur after proven complete angiographic resection can occur, albeit rarely, especially in the pediatric population. We report a rare case of a recurrent AVM two years after complete resection in an adult patient. This case report shows that AVMs in adults can recur despite their rarity and despite postoperative angiography confirming complete removal. Moreover, in this case, the recurrent AVM involved a new feeding vessel that was not involved with the initial lesion.

Keywords

References

  1. Chiu YW, Wu HT, Chen YW, Lui MT, Kao SY, Lo WL. A giant venous malformation of face and neck: a case report. Taiwan J Oral Maxillofac Surg 2011;22:110-7.
  2. Duncan IC, Fourie PA. Vascular malformations part 2: current classification of vascular malformations. South Afr J Radiol 2004;8:23-30.
  3. Shetty DC, Urs AB, Rai HC, Ahuja N, Manchanda A. Case series on vascular malformation and their review with regard to terminology and categorization. Contemp Clin Dent 2010;1:259-62.
  4. Noreau G, Landry PP, Morais D. Arteriovenous malformation of the mandible: review of literature and case history. J Can Dent Assoc 2001;67:646-51.
  5. Sonstein WJ, Kader A, Michelsen WJ, Llena JF, Hirano A, Casper D. Expression of vascular endothelial growth factor in pediatric and adult cerebral arteriovenous malformations: an immunocytochemical study. J Neurosurg 1996;85:838-45. https://doi.org/10.3171/jns.1996.85.5.0838
  6. Virchow R. Die krankhaften Geschwulste 1. Berlin: Hirschwald; 1863.
  7. Choi DJ, Alomari AI, Chaudry G, Orbach DB. Neurointerventional management of low-flow vascular malformations of the head and neck. Neuroimaging Clin N Am 2009;19:199-218. https://doi.org/10.1016/j.nic.2009.01.003
  8. Garzon MC, Huang JT, Enjolras O, Frieden IJ. Vascular malformations: part I. J Am Acad Dermatol 2007;56:353-70. https://doi.org/10.1016/j.jaad.2006.05.069
  9. Richter GT, Friedman AB. Hemangiomas and vascular malformations: current theory and management. Int J Pediatr 2012. doi:10.1155/2012/645678.
  10. Anderson JH, Grisius RJ, McKean TW. Arteriovenous malformation of the mandible. Oral Surg Oral Med Oral Pathol 1981;52:118-25. https://doi.org/10.1016/0030-4220(81)90306-6
  11. Codd PJ, Mitha AP, Ogilvy CS. A recurrent cerebral arteriovenous malformation in an adult. J Neurosurg 2008;109:486-91. https://doi.org/10.3171/JNS/2008/109/9/0486
  12. Jacobowitz GR, Rosen RJ, Rockman CB, Nalbandian M, Hofstee DJ, Fioole B, et al. Transcatheter embolization of complex pelvic vascular malformations: results and long-term follow-up. J Vasc Surg 2001;33:51-5. https://doi.org/10.1067/mva.2001.111738
  13. Weil AG, Li S, Zhao JZ. Recurrence of a cerebral arteriovenous malformation following complete surgical resection: a case report and review of the literature. Surg Neurol Int 2011;2:175. https://doi.org/10.4103/2152-7806.90692
  14. Klimo P Jr, Rao G, Brockmeyer D. Pediatric arteriovenous malformations: a 15-year experience with an emphasis on residual and recurrent lesions. Childs Nerv Syst 2007;23:31-7.
  15. Lee BB, Baumgartner I, Berlien HP, Bianchini G, Burrows P, Do YS, et al; International Union of Angiology. Consensus Document of the International Union of Angiology (IUA)-2013. Current concept on the management of arterio-venous management. Int Angiol 2013;32:9-36.
  16. Spetzler RF, Hargraves RW, McCormick PW, Zabramski JM, Flom RA, Zimmerman RS. Relationship of perfusion pressure and size to risk of hemorrhage from arteriovenous malformations. J Neurosurg 1992;76:918-23. https://doi.org/10.3171/jns.1992.76.6.0918
  17. Gabriel EM, Sampson JH, Wilkins RH. Recurrence of a cerebral arteriovenous malformation after surgical excision: case report. J Neurosurg 1996;84:879-82. https://doi.org/10.3171/jns.1996.84.5.0879
  18. Andaluz N, Myseros JS, Sathi S, Crone KR, Tew JM Jr. Recurrence of cerebral arteriovenous malformations in children: report of two cases and review of the literature. Surg Neurol 2004;62:324-30. https://doi.org/10.1016/j.surneu.2003.11.030

Cited by

  1. A Clinically, Radiologically Malignant, but Histopathologically Benign Lesion in Oral Cavity vol.42, pp.6, 2015, https://doi.org/10.17779/kaomp.2018.42.6.006