Heart failure caused by congenital hepatic hemangioma complicated with arteriovenous fistula in a neonate

HE Yue; SUN Song; YANG Lin; ZHOU Jian-Guo; ZHANG Rong; ZHANG Lan

doi:10.7499/j.issn.1008-8830.2306082

PDF(696 KB)

Chinese Journal of Contemporary Pediatrics ›› 2023, Vol. 25 ›› Issue (8) : 884-888. DOI: 10.7499/j.issn.1008-8830.2306082

COLUMN ON DIAGNOSIS & TREATMENT IN MDT MODE

Heart failure caused by congenital hepatic hemangioma complicated with arteriovenous fistula in a neonate

HE Yue, SUN Song, YANG Lin, ZHOU Jian-Guo, ZHANG Rong, ZHANG Lan

Author information +

History +

Abstract

The three-day-old female infant was admitted to the hospital due to respiratory distress after birth. She was born premature at 36⁺² weeks gestational age. Prenatal ultrasound suggested abnormal development of the fetal liver vessels, and she had dyspnea that required respiratory support after birth. Chest X-ray indicated an enlarged cardiac silhouette, and cardiac ultrasound revealed enlargement of the right atrium and right ventricle. Diagnosis of hepatic hemangioma with arteriovenous fistula was confirmed through liver ultrasound and abdominal enhanced CT. At 19 days old, she underwent ligation of the hepatic artery under general anesthesia, which led to an improvement in cardiac function and she was subsequently discharged. Genetic testing revealed a mutation in the ACVRL1 gene, which was inherited from the mother. The article primarily introduces a case of neonatal heart failure caused by hepatic hemangioma with arteriovenous fistula, and multi-disciplinary diagnosis and treatment of this disease.

Key words

Hepatic arteriovenous fistula / Hepatic hemangioma / Heart failure / Neonate

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

HE Yue, SUN Song, YANG Lin, ZHOU Jian-Guo, ZHANG Rong, ZHANG Lan. Heart failure caused by congenital hepatic hemangioma complicated with arteriovenous fistula in a neonate[J]. Chinese Journal of Contemporary Pediatrics. 2023, 25(8): 884-888 https://doi.org/10.7499/j.issn.1008-8830.2306082

References

1 Dutta S, Chapa UK, Ansari MI, et al. Arterio-hepatic venous fistula following liver biopsy: a rare case report and literature review[J]. Vasc Endovascular Surg, 2021, 55(2): 177-182. PMID: 32878580. DOI: 10.1177/1538574420954300.
2 管亚飞, 许云仙, 郭丽敏, 等. 新生儿先天性肝动静脉瘘合并肺动脉高压1例[J]. 中华新生儿科杂志, 2022, 37(4): 363-364. DOI: 10.3760/cma.j.issn.2096-2932.2022.04.019.
3 Ba H, Xu L, Peng H, et al. Beta blocker therapy for congenital hepatic arteriovenous fistula in two neonates[J]. Front Pediatr, 2020, 8: 163. PMID: 32373560. PMCID: PMC7186415. DOI: 10.3389/fped.2020.00163.
4 Leon M, Chavez L, Surani S. Hepatic hemangioma: what internists need to know[J]. World J Gastroenterol, 2020, 26(1): 11-20. PMID: 31933511. PMCID: PMC6952297. DOI: 10.3748/wjg.v26.i1.11.
5 Sakamoto S, Kasahara M, Shigeta T, et al. Living donor liver transplantation for multiple intrahepatic portosystemic shunts after involution of infantile hepatic hemangiomas[J]. J Pediatr Surg, 2011, 46(6): 1288-1291. PMID: 21683241. DOI: 10.1016/j.jpedsurg.2011.02.061.
6 Wu L, Zhao L, Lu Y, et al. Interventional embolization of congenital intrahepatic shunts in children[J]. Pediatr Radiol, 2016, 46(4): 541-547. PMID: 26637318. DOI: 10.1007/s00247-015-3497-3.
7 Sutcliffe R, Mieli-Vergani G, Dhawan A, et al. A novel treatment of congenital hepatoportal arteriovenous fistula[J]. J Pediatr Surg, 2008, 43(3): 571-573. PMID: 18358306. DOI: 10.1016/j.jpedsurg.2005.07.005.
8 李春霞, 兰春慧. 肝动静脉瘘的研究进展[J]. 国际消化病杂志, 2014, 34(4): 238-240. DOI: 10.3969/j.issn.1673-534X.2014.04.004.
9 Alonso-Gamarra E, Parrón M, Pérez A, et al. Clinical and radiologic manifestations of congenital extrahepatic portosystemic shunts: a comprehensive review[J]. Radiographics, 2011, 31(3): 707-722. PMID: 21571652. DOI: 10.1148/rg.313105070.
10 Khalil M, Jux C, Rueblinger L, et al. Acute therapy of newborns with critical congenital heart disease[J]. Transl Pediatr, 2019, 8(2): 114-126. PMID: 31161078. PMCID: PMC6514285. DOI: 10.21037/tp.2019.04.06.
11 Hinton RB, Ware SM. Heart failure in pediatric patients with congenital heart disease[J]. Circ Res, 2017, 120(6): 978-994. PMID: 28302743. PMCID: PMC5391045. DOI: 10.1161/CIRCRESAHA.116.308996.
12 Masarone D, Valente F, Rubino M, et al. Pediatric heart failure: a practical guide to diagnosis and management[J]. Pediatr Neonatol, 2017, 58(4): 303-312. PMID: 28279666. DOI: 10.1016/j.pedneo.2017.01.001.
13 Marra P, Dulcetta L, Carbone FS, et al. Arterioportal fistulas (APFs) in pediatric patients: single center experience with interventional radiological versus conservative management and clinical outcomes[J]. J Clin Med, 2021, 10(12): 2612. PMID: 34198478. PMCID: PMC8231897. DOI: 10.3390/jcm10122612.
14 Angelico R, Paolantonio G, Paoletti M, et al. Combined endovascular-surgical treatment for complex congenital intrahepatic arterioportal fistula: a case report and review of the literature[J]. World J Hepatol, 2020, 12(4): 160-169. PMID: 32685108. PMCID: PMC7336291. DOI: 10.4254/wjh.v12.i4.160.
15 Léauté-Labrèze C, Harper JI, Hoeger PH. Infantile haemangioma[J]. Lancet, 2017, 390(10089): 85-94. PMID: 28089471. DOI: 10.1016/S0140-6736(16)00645-0.
16 Bofarid S, Hosman AE, Mager JJ, et al. Pulmonary vascular complications in hereditary hemorrhagic telangiectasia and the underlying pathophysiology[J]. Int J Mol Sci, 2021, 22(7): 3471. PMID: 33801690. PMCID: PMC8038106. DOI: 10.3390/ijms22073471.
17 Lord DJ, Chennapragada SM. Embolization in neonates and infants[J]. Tech Vasc Interv Radiol, 2011, 14(1): 32-41. PMID: 21335291. DOI: 10.1053/j.tvir.2010.07.003