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Chest, Vol 92, 897-899, Copyright © 1987 by American College of Chest Physicians

ARTICLES

Congenital arteriovenous malformations between brachiocephalic arteries and systemic veins

FR Gutierrez, MP Monaco, AF Hartmann Jr and RC McKnight
Washington University School of Medicine, St. Louis 63110.

Three patients under two years of age are described with unusual fistulas involving the brachiocephalic arteries and the innominate vein or the superior vena cava. Two patients were asymptomatic, and one newborn was cyanotic and in congestive failure. This unusual presentation has only rarely been reported in thoracic arteriovenous malformations. Two of the three patients underwent successful surgical repair. Two-dimensional echocardiography aids in the evaluation of these patients, but cardiac catheterization and angiography are indispensable diagnostic techniques for documenting the extent and location of these lesions and thus guiding proper therapy.




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Copyright © 1987 by the American College of Chest Physicians.