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Case Report

Paraspinal Arterio-Venous Fistula in Children: Two More Cases of an Exceptional Malformation

by
Nesrine Farhat
1,*,
Brigitte Desprechins
1,
Bernard Otto
2,
Vincent Ramaekers
1 and
Marie-Christine Seghaye
1
1
Department of Pediatrics, University Hospital Liège, Liège, Belgium
2
Departments of Radiology, University Hospital Liège, Liège, Belgium
*
Author to whom correspondence should be addressed.
Clin. Pract. 2015, 5(2), 707; https://doi.org/10.4081/cp.2015.707
Submission received: 9 September 2014 / Revised: 13 December 2014 / Accepted: 17 December 2014 / Published: 24 April 2015

Abstract

We report on the case of two toddlers who presented in the last 2 years with heart and vascular murmur, respectively, and in whom the diagnosis of paraspinal arterio-venous fistula was made. Paraspinal arterio-venous fistulae in children are extremely rare congenital or post-traumatic vascular malformations. In the rare case of connection with the spinal venous system, they might affect spinal vascularization due to potential venous congestion. Interventional embolization rather than surgery is the treatment of choice for such lesions. Up to now, there is no consensus about the indication of prophylactic closure of asymptomatic fistulae. However, close clinical follow-up with repeated spinal magnetic resonance imaging to exclude venous congestion is mandatory for young asymptomatic patients until treatment.
Keywords: arterio-venous malformation; paraspinal arterio-venous fistula; children arterio-venous malformation; paraspinal arterio-venous fistula; children

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MDPI and ACS Style

Farhat, N.; Desprechins, B.; Otto, B.; Ramaekers, V.; Seghaye, M.-C. Paraspinal Arterio-Venous Fistula in Children: Two More Cases of an Exceptional Malformation. Clin. Pract. 2015, 5, 707. https://doi.org/10.4081/cp.2015.707

AMA Style

Farhat N, Desprechins B, Otto B, Ramaekers V, Seghaye M-C. Paraspinal Arterio-Venous Fistula in Children: Two More Cases of an Exceptional Malformation. Clinics and Practice. 2015; 5(2):707. https://doi.org/10.4081/cp.2015.707

Chicago/Turabian Style

Farhat, Nesrine, Brigitte Desprechins, Bernard Otto, Vincent Ramaekers, and Marie-Christine Seghaye. 2015. "Paraspinal Arterio-Venous Fistula in Children: Two More Cases of an Exceptional Malformation" Clinics and Practice 5, no. 2: 707. https://doi.org/10.4081/cp.2015.707

APA Style

Farhat, N., Desprechins, B., Otto, B., Ramaekers, V., & Seghaye, M. -C. (2015). Paraspinal Arterio-Venous Fistula in Children: Two More Cases of an Exceptional Malformation. Clinics and Practice, 5(2), 707. https://doi.org/10.4081/cp.2015.707

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