Neonatal congestive heart failure due to a subclavian artery to subclavian vein fistula diagnosed by noninvasive procedures.

Journal Article (Journal Article)

UNLABELLED: Congestive heart failure in the neonate is usually due to intracardiac anomalies or cardiac dysfunction. Extracardiac causes are rare. PATIENT: We report a newborn infant who presented with respiratory distress and cardiomegaly. RESULT: Echocardiography identified a dilated right subclavian artery and vein and superior vena cava. Magnetic resonance imaging confirmed a subclavian artery to subclavian vein fistula that was treated with surgical ligation. The infant recovered fully. This case underscores the need for clinical suspicion of fistulous connection in unusual locations in the face of unexplained heart failure in the neonate. CONCLUSION: Echocardiographic and magnetic resonance imaging are effective noninvasive modalities to confirm the diagnosis prior to surgical intervention.

Full Text

Duke Authors

Cited Authors

  • Tatum, GH; Newman, B; Ralphe, JC

Published Date

  • May 2006

Published In

Volume / Issue

  • 1 / 3

Start / End Page

  • 120 - 123

PubMed ID

  • 18377556

Electronic International Standard Serial Number (EISSN)

  • 1747-0803

Digital Object Identifier (DOI)

  • 10.1111/j.1747-0803.2006.00019.x


  • eng

Conference Location

  • United States