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Sur A, Manraj H, Lavoie PM, et al. Multiple Successful Angioembolizations for Refractory Cardiac Failure in a Preterm with Rapidly Involuting Congenital Hemangioma. AJP Rep. 2016;6(1):e99-e103doi: 10.1055/s-0035-1570342.
Sur, A., Manraj, H., Lavoie, P. M., Lim, K., Courtemanche, D., Brooks, P., & Albersheim, S. (2016). Multiple Successful Angioembolizations for Refractory Cardiac Failure in a Preterm with Rapidly Involuting Congenital Hemangioma. AJP reports, 6(1), e99-e103. https://doi.org/10.1055/s-0035-1570342
Sur, Amitava, et al. "Multiple Successful Angioembolizations for Refractory Cardiac Failure in a Preterm with Rapidly Involuting Congenital Hemangioma." AJP reports vol. 6,1 (2016): e99-e103. doi: https://doi.org/10.1055/s-0035-1570342
Sur A, Manraj H, Lavoie PM, Lim K, Courtemanche D, Brooks P, Albersheim S. Multiple Successful Angioembolizations for Refractory Cardiac Failure in a Preterm with Rapidly Involuting Congenital Hemangioma. AJP Rep. 2016 Mar;6(1):e99-e103. doi: 10.1055/s-0035-1570342. Epub 2016 Jan 04. PMID: 26929881; PMCID: PMC4737636.
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AJP Rep. 2016 Mar;6(1):e99-e103. doi: 10.1055/s-0035-1570342. Epub 2016 Jan 04.

Multiple Successful Angioembolizations for Refractory Cardiac Failure in a Preterm with Rapidly Involuting Congenital Hemangioma.

AJP reports

Amitava Sur, Heran Manraj, Pascal M Lavoie, Ken Lim, Douglas Courtemanche, Paul Brooks, Susan Albersheim

Affiliations

  1. Children's and Women's Health Centre of British Columbia, Vancouver, Canada; Department of Pediatrics, University of British Columbia, Vancouver, Canada.
  2. Children's and Women's Health Centre of British Columbia, Vancouver, Canada; Department of Interventional Radiology, University of British Columbia, Vancouver, Canada.
  3. Children's and Women's Health Centre of British Columbia, Vancouver, Canada; Department of Maternal and Fetal Medicine, University of British Columbia, Vancouver, Canada.
  4. Children's and Women's Health Centre of British Columbia, Vancouver, Canada; Department of Plastic Surgery, University of British Columbia, Vancouver, Canada.
  5. Children's and Women's Health Centre of British Columbia, Vancouver, Canada; Department of Cardiology, University of British Columbia, Vancouver, Canada.

PMID: 26929881 PMCID: PMC4737636 DOI: 10.1055/s-0035-1570342

Abstract

Rapidly involuting congenital hemangiomas (RICH) are the commonest variety of congenital hemangioma, often diagnosed antenatally as high-flow arteriovenous shunts causing hemodynamic compromise to the fetus. The postnatal management of such patients is often challenging. We present the case of an infant boy who was delivered prematurely at 29 weeks of gestation due to fetal compromise by a RICH, with features of high-output cardiac failure and major systemic hemodynamic steal from peripheral organs. Two early angioembolizations were required to manage his high-output cardiac failure. To our knowledge, this infant is the smallest and earliest newborn case of successful angioembolization for a complex, life-threatening vascular anomaly. We discuss the interventional dilemmas regarding the optimal timing of delivery and early embolization.

Keywords: RICH; angioembolization; high-output cardiac failure; preterm

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