Limb Salvage in an Extensive, Complicated Vascular Lesion of the Arm in an Infant

Overview

Journal J Indian Assoc Pediatr Surg

Specialty Pediatrics

Date 2020 Mar 7

PMID 32139995

Authors

Veerabhadra Radhakrishna

Chittur Narendra Radhakrishnan

Harish Kumar Kabilan

Ashok Basur Chandrappa

Srikanth Vasudevan

Affiliations

Soon will be listed here.

Abstract

When a vascular lesion involving a limb poses a hazard to the life, treatment options are excision or amputation of the limb. Although excision can be hazardous, limb salvage with vascular control is the best treatment option. We report limb salvage in an infant with an extensive infected congenital hemangioma complicated with consumptive coagulopathy.

References

Lu H, Chen Q, Shen H, Ye G . A rare atypical rapidly involuting congenital hemangioma combined with vascular malformation in the upper limb. World J Surg Oncol. 2016; 14(1):229. PMC: 5002195. DOI: 10.1186/s12957-016-0993-3. View

Knopfel N, Walchli R, Luchsinger I, Theiler M, Weibel L, Schwieger-Briel A . Congenital hemangioma exhibiting postnatal growth. Pediatr Dermatol. 2019; 36(4):548-549. DOI: 10.1111/pde.13813. View

Kumagai C, Ozeki M, Nozawa A, Kakuda H, Fukao T . Efficacy of sirolimus in an infant with Kasabach-Merritt phenomenon. Pediatr Int. 2018; 60(9):887-889. DOI: 10.1111/ped.13630. View

Baselga E, Cordisco M, Garzon M, Lee M, Alomar A, Blei F . Rapidly involuting congenital haemangioma associated with transient thrombocytopenia and coagulopathy: a case series. Br J Dermatol. 2008; 158(6):1363-70. DOI: 10.1111/j.1365-2133.2008.08546.x. View

Merrow A, Gupta A, Patel M, Adams D . 2014 Revised Classification of Vascular Lesions from the International Society for the Study of Vascular Anomalies: Radiologic-Pathologic Update. Radiographics. 2016; 36(5):1494-516. DOI: 10.1148/rg.2016150197. View

Nakada K, Kawada T, Fujioka T, Kitagawa H, Enami T, Kuwabara M . Hemangioma of the upper arm associated with massive hemorrhage in a neonate. Surg Today. 1993; 23(3):273-6. DOI: 10.1007/BF00309241. View

Powell J, Blouin M, David M, Dubois J . Bleeding in congenital hemangiomas: crusting as a clinical predictive sign and usefulness of tranexamic acid. Pediatr Dermatol. 2011; 29(2):182-5. DOI: 10.1111/j.1525-1470.2011.01517.x. View

Lei H, Sun B, Ma Y, Li M, Wang L, Jiang S . Retrospective study on the outcomes of infantile tufted angioma complicated by Kasabach-Merritt Phenomenon. Clin Chim Acta. 2018; 486:199-204. DOI: 10.1016/j.cca.2018.07.044. View

Vildy S, Macher J, Abasq-Thomas C, Le Rouzic-Dartoy C, Brunelle F, Hamel-Teillac D . Life-threatening hemorrhaging in neonatal ulcerated congenital hemangioma: two case reports. JAMA Dermatol. 2015; 151(4):422-5. DOI: 10.1001/jamadermatol.2014.3666. View

10.

McCarthy R, Lytle J, Van Devanter S . The use of total circulatory arrest in the surgery of giant hemangioma and Klippel-Trenaunay syndrome in neonates. Clin Orthop Relat Res. 1993; (289):237-42. View

11.

Marler J, Fishman S, Upton J, Burrows P, Paltiel H, Jennings R . Prenatal diagnosis of vascular anomalies. J Pediatr Surg. 2002; 37(3):318-26. DOI: 10.1053/jpsu.2002.30831. View

12.

Darouich S, Bellamine H, Mkaouar L, Ayachi A, Mourali M . Congenital Large Cutaneous Hemangioma with Arteriovenous and Arterioarterial Malformations: A Novel Association. Fetal Pediatr Pathol. 2019; 38(1):85-90. DOI: 10.1080/15513815.2018.1547337. View

13.

Weber T, West K, Cohen M, Grosfeld J . Massive hemangioma in infants: therapeutic considerations. J Vasc Surg. 1984; 1(3):423-8. DOI: 10.1067/mva.1984.avs0010423. View

14.

Currie B, Schell D, BOWRING A . Giant hemangioma of the arm associated with cardiac failure and the Kasabach-Merritt syndrome in a neonate. J Pediatr Surg. 1991; 26(6):734-7. DOI: 10.1016/0022-3468(91)90022-l. View

15.

Agesta N, Boralevi F, Sarlangue J, Vergnes P, Grenier N, Leaute-Labreze C . Life-threatening haemorrhage as a complication of a congenital haemangioma. Acta Paediatr. 2003; 92(10):1216-8. DOI: 10.1080/08035250310005215. View

16.

Morgan B, Cooper P, Shinebourne E . Peripheral arteriovenous fistula as a cause of neonatal cardiac failure. Int J Cardiol. 1986; 10(2):177-9. DOI: 10.1016/0167-5273(86)90226-3. View

17.

Ren Z, Sun S, Ye Z, Yang J . Congenital hemangioma causing heart failure. Intensive Care Med. 2018; 45(6):889-891. DOI: 10.1007/s00134-018-5369-4. View

18.

Konez O, Burrows P, Mulliken J, Fishman S, Kozakewich H . Angiographic features of rapidly involuting congenital hemangioma (RICH). Pediatr Radiol. 2002; 33(1):15-9. DOI: 10.1007/s00247-002-0726-3. View

19.

Stringel G, Mercer S . Giant hemangioma in the newborn and infant. Complications and management. Clin Pediatr (Phila). 1984; 23(9):498-502. DOI: 10.1177/000992288402300910. View