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Treatment of large arteriovenous malformation in right lower limb.

Lee YO, Hong SW - Korean J Thorac Cardiovasc Surg (2014)

Bottom Line: 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.The patient underwent surgery successfully without complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Kyungpook National University School of Medicine, Korea.

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.

No MeSH data available.


Related in: MedlinePlus

A preoperative computed tomographic (CT) angiography of the right lower extremity (A) revealed extensive arteriovenous malformation with feeding arteries from branches of right profunda femoris artery and superficial femoral artery. (B) A postoperative CT angiography.
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Figure 3: A preoperative computed tomographic (CT) angiography of the right lower extremity (A) revealed extensive arteriovenous malformation with feeding arteries from branches of right profunda femoris artery and superficial femoral artery. (B) A postoperative CT angiography.

Mentions: On admission to Kyungpook National University Hospital, an examination revealed that AVM with soft tissue hypertrophy had spread all over the right leg (Fig. 1). A chest X-ray showed marked cardiomegaly with increased pulmonary vascularities (Fig. 2A). Electrocardiography showed normal sinus rhythm with right ventricular hypertrophy. Two-dimensional echocardiography showed an enlarged right atrium, right ventricle, and left ventricle, but relatively good left ventricular contractility. The pulmonary artery was also enlarged, but there was no pulmonary edema. Computed tomographic (CT) angiography of the right lower extremity revealed extensive AVM with feeding arteries from the branches of the right profunda femoris and superficial femoral arteries. The venous drainage was through the superficial femoral and deep femoral veins, and there was a marked dilatation of the pelvic vein and inferior vena cava (Fig. 3A). The blood investigations were found to be normal.


Treatment of large arteriovenous malformation in right lower limb.

Lee YO, Hong SW - Korean J Thorac Cardiovasc Surg (2014)

A preoperative computed tomographic (CT) angiography of the right lower extremity (A) revealed extensive arteriovenous malformation with feeding arteries from branches of right profunda femoris artery and superficial femoral artery. (B) A postoperative CT angiography.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3928270&req=5

Figure 3: A preoperative computed tomographic (CT) angiography of the right lower extremity (A) revealed extensive arteriovenous malformation with feeding arteries from branches of right profunda femoris artery and superficial femoral artery. (B) A postoperative CT angiography.
Mentions: On admission to Kyungpook National University Hospital, an examination revealed that AVM with soft tissue hypertrophy had spread all over the right leg (Fig. 1). A chest X-ray showed marked cardiomegaly with increased pulmonary vascularities (Fig. 2A). Electrocardiography showed normal sinus rhythm with right ventricular hypertrophy. Two-dimensional echocardiography showed an enlarged right atrium, right ventricle, and left ventricle, but relatively good left ventricular contractility. The pulmonary artery was also enlarged, but there was no pulmonary edema. Computed tomographic (CT) angiography of the right lower extremity revealed extensive AVM with feeding arteries from the branches of the right profunda femoris and superficial femoral arteries. The venous drainage was through the superficial femoral and deep femoral veins, and there was a marked dilatation of the pelvic vein and inferior vena cava (Fig. 3A). The blood investigations were found to be normal.

Bottom Line: 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.The patient underwent surgery successfully without complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Kyungpook National University School of Medicine, Korea.

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.

No MeSH data available.


Related in: MedlinePlus