Prenatal diagnosis of concurrent facial and cerebral vascular malformation which caused congestive heart failure

Arteriovenous malformations (AVMs) are rarely reported antenatally. Most in utero diagnosis of vascular malformation is related to vein of Galen malformation (VGM). We describe a case of simultaneously diagnosed pial arteriovenous fistula (AVF) and facial vascular malformation in a 20weeks old fetus...

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Bibliographic Details
Published in:Middle East Fertility Society journal 2017-12, Vol.22 (4), p.343-346
Main Authors: Moradi, Behnaz, Tahmasebpour, Ahmad-Reza, Kazemi, Mohamad Ali, Sharifian, Hashem, Rokni-Yazdi, Hadi
Format: Article
Language:English
Subjects:
Antenatal ultrasound
Arteriovenous malformation
Face
Heart failure
Pial arteriovenous fistula
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Summary:Arteriovenous malformations (AVMs) are rarely reported antenatally. Most in utero diagnosis of vascular malformation is related to vein of Galen malformation (VGM). We describe a case of simultaneously diagnosed pial arteriovenous fistula (AVF) and facial vascular malformation in a 20weeks old fetus. The dilated intracranial venous pouch appeared as a midline anechoic structure which was misdiagnosed as a VGM in her previous ultrasound exam. Another AVM was diagnosed in the same side of fetal face which fed by a branch of external carotid artery and communicated with the mentioned pial AVF. High output cardiac failure and hydrops were evident. To our knowledge this is the first report of prenatally detected combination of facial and cerebral vascular malformations at such as early pregnancy week.
ISSN:1110-5690
DOI:10.1016/j.mefs.2017.04.006