Arteriovenous fistula in a neonate utility of the bedside ec
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"An abnormal vascular connection between the artery and vein diverts the blood from high resistance arterial circuit to low resistance venous circuit. Most of the fistulas are located intracerebral, cervical, or intra-abdominal. Intrathoracic aortocaval fistulas are rare entity. We report one such care where in there was an abnormal connection between right brachiocephalic trunk and superior vena cava causing hypoxic respiratory failure in the neonate.A 15-day-old late preterm female baby weighing 2.6 kg was brought to the emergency room with hypoxic respiratory failure. Bedside echocardiography demonstrated reversal of flow in the descending aorta. Computed tomography angiography was performed and showed arteriovenous fistula between brachiocephalic artery and beginning of superior vena cava. Parents were counseled about the embolization of fistula. Parents refused to consent for the procedure and the baby was discharged against the medical advice.".....

http://www.jcnonweb.com/article.asp?issn=2249-4847;year=2017;volume=6;issue=3;spage=198;epage=199;aulast=Venkatesh
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