Management challenges of a large upper extremity vascular malformation in a patient with capillary malformation-arteriovenous malformation syndrome.

Adolescent Arm / blood supply Arteriovenous Malformations / complications Blood Transfusion Capillaries / abnormalities Disarticulation Embolization, Therapeutic Hemorrhage / etiology Hemostatic Techniques Humans Male Myocutaneous Flap Port-Wine Stain / complications Recurrence Shoulder / blood supply Thoracic Wall / blood supply Treatment Outcome Vascular Surgical Procedures
Arteriovenous malformation CM-AVM syndrome Embolization Pediatric

Journal

Journal of vascular surgery. Venous and lymphatic disorders
ISSN: 2213-3348
Titre abrégé: J Vasc Surg Venous Lymphat Disord
Pays: United States
ID NLM: 101607771

Informations de publication

Date de publication:
05 2021
Historique:
received: 27 04 2020
accepted: 07 07 2020
pubmed: 21 7 2020
medline: 29 6 2021
entrez: 21 7 2020
Statut: ppublish

Résumé

We describe a 17-year-old boy with capillary malformation-arteriovenous malformation syndrome and a massive vascular malformation of the right chest wall, shoulder, and upper arm. Persistent growth of the malformation caused cutaneous ulcerations and recurrent massive bleeding episodes. We proceeded with a modified shoulder disarticulation preceded by ligation of the subclavian artery and innominate vein by median sternotomy. After a staged debulking resection of the residual chest wall arteriovenous malformation with rotational transverse rectus abdominis myocutaneous flap coverage, the patient was discharged home safely. This report demonstrates that a multidisciplinary approach is critical for management of life-threatening complications in capillary malformation-arteriovenous malformation patients.

Identifiants

DOI: 10.1016/j.jvsv.2020.07.001 PMID: 32687897
pubmed: 32687897
pii: S2213-333X(20)30406-6
doi: 10.1016/j.jvsv.2020.07.001
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

781-784

Informations de copyright

Copyright © 2020 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

Auteurs

Michael J Zobel (MJ)

Division of Pediatric Surgery, Department of Surgery, Children's Hospital Los Angeles, Los Angeles, Calif.

Willieford Moses (W)

Division of Pediatric Surgery, Department of Surgery, Children's Hospital Los Angeles, Los Angeles, Calif.

Ashley Walther (A)

Division of Pediatric Surgery, Department of Surgery, Children's Hospital Los Angeles, Los Angeles, Calif; Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, Calif.

Donuta Nowicki (D)

Division of Pediatric Surgery, Department of Surgery, Children's Hospital Los Angeles, Los Angeles, Calif.

Lori Howell (L)

Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, Calif; Division of Pediatric Plastic and Maxillofacial Surgery, Department of Surgery, Children's Hospital Los Angeles, Los Angeles, Calif.

Joseph Miller (J)

Division of Interventional Radiology, Department of Radiology, Children's Hospital Los Angeles, Los Angeles, Calif.

Chadi Zeinati (C)

Division of Interventional Radiology, Department of Radiology, Children's Hospital Los Angeles, Los Angeles, Calif.

Dean M Anselmo (DM)

Division of Pediatric Surgery, Department of Surgery, Children's Hospital Los Angeles, Los Angeles, Calif; Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, Calif. Electronic address: danselmo@chla.usc.edu.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › Management challenges of a large upper...
questionsmedicales.fr › Régions du corps › Membres › Membre supérieur › Bras › Management challenges of a large upper...
questionsmedicales.fr › Malformations et maladies congénitales, héréditaires et néonatales › Malformations › Malformations cardiovasculaires › Anomalies vasculaires › Malformations artérioveineuses › Management challenges of a large upper...
questionsmedicales.fr › Thérapeutique › Biothérapie › Transfusion sanguine › Management challenges of a large upper...
questionsmedicales.fr › Système cardiovasculaire › Vaisseaux sanguins › Microvaisseaux › Vaisseaux capillaires › Management challenges of a large upper...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures orthopédiques › Amputation chirurgicale › Désarticulation › Management challenges of a large upper...
questionsmedicales.fr › Thérapeutique › Occlusion thérapeutique › Embolisation thérapeutique › Management challenges of a large upper...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Hémorragie › Management challenges of a large upper...
questionsmedicales.fr › Thérapeutique › Techniques d'hémostase › Management challenges of a large upper...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Management challenges of a large upper...
questionsmedicales.fr › Équipement et fournitures › Reconstructions chirurgicales › Lambeaux chirurgicaux › Lambeau musculo-cutané › Management challenges of a large upper...
questionsmedicales.fr › Maladies de la peau et du tissu conjonctif › Maladies de la peau › Malformations cutanées › Tache lie de vin › Management challenges of a large upper...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Récidive › Management challenges of a large upper...
questionsmedicales.fr › Régions du corps › Membres › Membre supérieur › Épaule › Management challenges of a large upper...
questionsmedicales.fr › Régions du corps › Tronc › Thorax › Paroi thoracique › Management challenges of a large upper...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Management challenges of a large upper...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie cardiovasculaire › Procédures de chirurgie vasculaire › Management challenges of a large upper...