Amaral F T, Machado H R, Almeida S
Hospital do Coração de Ribeirão Preto-Fundação Waldemar B. Pessoa e Disciplina de Neurocirurgia da Faculdade de Medicina de Ribeirão Preto.
Arq Bras Cardiol. 1994 Sep;63(3):207-9.
A case of 3 month-old-boy with Down's syndrome and heart failure due to a localized arteriovenous fistula of the cranial vessels is reported. Clinical diagnosis was made after cranial bruit detection based on a retroauricular thrill incidentally felt by the mother. The diagnosis was confirmed by digital subtraction angiography and a good result was achieved by means of embolization and surgical ligation of the fistula. Three years after the operation the patient is asymptomatic, on no medication and with normal magnetic resonance image of the cranial vessels.
报告了一例3个月大患有唐氏综合征的男婴，因颅内血管局部动静脉瘘导致心力衰竭。母亲偶然感觉到耳后震颤，检测到颅部杂音后做出临床诊断。通过数字减影血管造影术确诊，并通过瘘管栓塞和手术结扎取得了良好效果。术后三年，患者无症状，未用药，颅内血管磁共振成像正常。
