Successful transcutaneous arterial embolization of a giant hemangioma associated with high-output cardiac failure and Kasabach-Merritt syndrome in a neonate: A case report
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Shigeharu Hosono
Abstract
We describe the case of a patient with a neonatal giant cutaneous hemangioma with high-output cardiac failure and Kasabach-Merritt syndrome and successfully treated with transcutaneous arterial embolization aimed at controlling severe congestive heart failure and consumption coagulopathy. A patient was admitted to the neonatal care unit on the first day of age because of a large hemangioma on his right lateral chest wall and respiratory distress, associated with cardiac failure resulting from arteriovenous shunting. On the second day of age the platelet count decreased to 5.7 × 104/μl and fibrinogen level was 85 mg/dl. The values of prothrombin time and activated partial thromboplastin time were prolonged. Intravenous predonisone therapy was started immediately, but bleeding tendency was getting worse and the evidence of congestive heart failure persisted. On the third day the patient then underwent embolization of feeding arteries with microcoils. The cardiac failure and thrombocytopenic coagulopathy had improved significantly without complications. We conclude that transcutaneous arterial embolization is an effective and safe treatment in this neonate and should be considered for the treatment of control high-output cardiac failure and coagulopathy in infants with hemangioma and Kasabach-Merritt syndrome.
Copyright (c)1999 by Walter de Gruyter GmbH & Co. KG
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Articles in the same Issue
- Cord occlusion techniques for selective termination in monochorionic twins
- Comparison of vaginal and cesarean section delivery for fetuses in breech presentation
- Neonatal cerebral Doppler: Arterial and venous flow velocity measurements using color and pulsed Doppler system
- MMP/TIMP imbalance in amniotic fluid during PROM: an indirect support for endogenous pathway to membrane rupture
- Pulmonary hemorrhage in neonates of early and late gestation
- Nucleated red blood cells in cord blood of singleton term and post-term neonates
- Neonatal lung function in very immature infants with and without RDS
- Doppler sonographic findings for hypertension in pregnancy and HELLP syndrome
- Vitamin E status of infants at birth
- Successful transcutaneous arterial embolization of a giant hemangioma associated with high-output cardiac failure and Kasabach-Merritt syndrome in a neonate: A case report
- 1H NMR as a non-invasive probe of amniotic fluid in insulin dependant diabetes mellitus
