PEDIATRICS Vol. 49 No. 1 January 1972, pp. 30-39
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CONGESTIVE HEART FAILURE FROM INTRACRANIAL ARTERIOVENOUS FISTULA IN INFANCY

Clinical and Physiologic Considerations in Eight Patients

Alys Mae Holden M.D.1, Donald C. Fyler M.D.1, John Shillito Jr. M.D.1, and Alexander S. Nadas M.D.1

1 Departments of Cardiology and Neurosurgery, Children's Hospital Medical Center, and the Departments of Pediatrics and Surgery, Harvard Medical School, Boston

The clinical recognition of an intracranial arteriovenous fistula in a newborn infant depends on finding good peripheral pulses, a hyperdynamic cardiac impulse, cardiomegaly, and a cranial bruit. Dilated scalp veins and visible vascular malformations over the head will point toward the diagnosis.

Cardiac catheterization can be diagnostic through recognition of a wide pulse pressure in combination with high oxygen saturations in the jugular veins and the right heart chambers.

Cerebral angiography provides required anatomic detail. Surgical clipping of the feeding arteries may be helpful and even curative.

Submitted on February 4, 1971
Accepted on June 25, 1971




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R. Tadmor, L. Blieden, V. Deutsch, H.N. Neufeld, and M. Berant
Cerebral Arteriovenous Fistula Causing Congestive Heart Failure in Infancy
Angiology, October 1, 1977; 28(10): 684 - 686.
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