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Case Reports
. 2014 Feb;47(1):66-70.
doi: 10.5090/kjtcs.2014.47.1.66. Epub 2014 Feb 5.

Treatment of large arteriovenous malformation in right lower limb

Young Ok Lee  1 , Seong Wook Hong  2
Affiliations
Case Reports

Treatment of large arteriovenous malformation in right lower limb

Young Ok Lee et al. Korean J Thorac Cardiovasc Surg. 2014 Feb.

Abstract

A 10-year-old boy with arteriovenous malformation (AVM) of the right lower limb was scheduled for an amputation of the affected limb. Limb amputation was necessary because of the ineffectiveness of previous sclerotherapy and the rapid progression of AVM causing pain and heart failure. Right hip disarticulation was considered the best option to improve his quality of life. To prevent congestive heart failure and uncontrollable hemorrhage during surgery, the disarticulation was done under a partial cardiopulmonary bypass. The patient underwent surgery successfully without complications.

Keywords: Arteriovenous malformations; Cardiopulmonary bypass; Heart failure.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Photo of arteriovenous malformation of right lower limb.
Fig. 2
Fig. 2
A preoperative chest X-ray shows (A) marked cardiomegaly with increased pulmonary vascularities. (B) A postoperative chest X-ray shows unremarkable finding without cardiomegaly.
Fig. 3
Fig. 3
A preoperative computed tomographic (CT) angiography of the right lower extremity (A) revealed extensive arteriovenous malformation with feeding arteries from branches of right profunda femoris artery and superficial femoral artery. (B) A postoperative CT angiography.
See this image and copyright information in PMC

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