A rare case of congenital thoracic arteriovenous fistula between the brachiocephalic truncus and the superior vena cava resulting in heart failure

Jabari S, Hartmann A, Cesnjevar R (2016)

Publication Type: Journal article

Publication year: 2016

Book Volume: 15

Pages Range: 50-52

DOI: 10.1016/j.epsc.2016.09.014

Abstract

We present a case of a full-term 13 days old female baby administered to the PICU with extreme tachypnea with suspicion of a huge left-to-right-shunt at vascular or cardiac level. Echocardiography revealed an open arterial duct and a huge arterio-venous fistula from the proximal right subclavian artery directly into the superior vena cava. The fistula was cross-clamped, resected and both vesselstumps were oversewn. Histopathologically the fistula presented either as an artery of the elastic type or an arterialized vein, which is a typical finding in fistulas. The patient was extubated shortly after repair and referred home five days after surgery. To the best of our knowledge, this is first report of a direct fistulous connection between the brachiocephalic trunk (proximal to the right subclavian artery) and the SVC with congestive heart failure and ASD.

Authors with CRIS profile

Samir Jabari Institute of Pathology Arndt Hartmann Lehrstuhl für Allgemeine Pathologie und Pathologische Anatomie Robert Cesnjevar Professur für Herzchirurgie mit dem Schwerpunkt Kinderherzchirurgie

How to cite

APA:

Jabari, S., Hartmann, A., & Cesnjevar, R. (2016). A rare case of congenital thoracic arteriovenous fistula between the brachiocephalic truncus and the superior vena cava resulting in heart failure. , 15, 50-52. https://doi.org/10.1016/j.epsc.2016.09.014

MLA:

Jabari, Samir, Arndt Hartmann, and Robert Cesnjevar. "A rare case of congenital thoracic arteriovenous fistula between the brachiocephalic truncus and the superior vena cava resulting in heart failure." 15 (2016): 50-52.

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