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
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.
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. Journal of Pediatric Surgery Case Reports, 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." Journal of Pediatric Surgery Case Reports 15 (2016): 50-52.
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