Am J Perinatol 2009; 26(9): 637-639
DOI: 10.1055/s-0029-1220795
© Thieme Medical Publishers

Cerebral Arteriovenous Shunts Regression in Two Preterm Newborns with Heart Failure in Utero

Rosa Maria Cerbo1 , Rita Cabano1 , Maurizio Radicioni2 , Mauro Stronati1
  • 1Neonatal Intensive Care Unit, Fondazione IRCCS San Matteo, Pavia, Italy
  • 2Neonatal Intensive Care Unit, Dipartimento Materno-Infantile, Santa Maria della Misericordia, Perugia, Italy
Further Information

Publication History

Publication Date:
23 April 2009 (online)

ABSTRACT

In this report, the cases of two newborn infants with cerebral arteriovenous shunts and heart failure in utero are presented. Different from the malformations of the vein of Galen, which usually generate a progressive and lethal heart failure after birth, our cases show heart failure resolution after birth, together with cerebral vascular shunt disappearance. Therefore, we hypothesized that the opening of arteriovenous shunts was a secondary modification due to the intrauterine heart failure. From our cases, it appears that, despite the dramatic echographic appearance, generalized cerebral venous dilatation can resolve spontaneously without sequelae.

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Rita CabanoM.D. 

Neonatal Intensive Care Unit Fondazione IRCCS Policlinico San Matteo

Piazzale Golgi 2, 27100 Pavia Italy

Email: ritacabano@yahoo.it