Abstract |
Large facial haemangiomas have a high rate of complications and can be associated with neurological, ophthalmological and cardiac abnormalities (PHACE syndrome; Posterior fossa malformations, Haemangiomas, Arterial anomalies, Coarctation of the aorta and cardiac defects, and Eye abnormalities). However, a thorough clinical examination is absolutely necessary. In fact, even in the absence of a PHACE syndrome, large haemangiomas can induce important complications. In the present brief report we describe a case of left ventricular dilatation in a 6-month-old girl due to a giant facial haemangioma. Left ventricular dilatation has been evaluated by two-dimensional echocardiography. Studies to identify other major arteriovenous malformations were negative. Medical therapy with diuretics, angiotensin-converting enzyme ( ACE) inhibitors and steroids was able to halt the progression towards left ventricular dysfunction, avoiding an early surgical approach for a disease that very often is self-limiting.
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Authors | Pasquale Cuccaro, Antonio Rapacciuolo, Renato Vitiello, Elisa di Pietro, Paolo Montaldo, Francesca Esposito, Gennaro Maresca, Antonio Correra |
Journal | Journal of cardiovascular medicine (Hagerstown, Md.)
(J Cardiovasc Med (Hagerstown))
Vol. 11
Issue 9
Pg. 692-4
(Sep 2010)
ISSN: 1558-2035 [Electronic] United States |
PMID | 20404742
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Angiotensin-Converting Enzyme Inhibitors
- Diuretics
- Steroids
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Topics |
- Angiotensin-Converting Enzyme Inhibitors
(therapeutic use)
- Dilatation, Pathologic
- Diuretics
(therapeutic use)
- Facial Neoplasms
(complications, physiopathology)
- Female
- Hemangioma
(complications, physiopathology)
- Hemodynamics
- Humans
- Infant
- Steroids
(therapeutic use)
- Treatment Outcome
- Ultrasonography
- Ventricular Dysfunction, Left
(diagnostic imaging, drug therapy, etiology, physiopathology)
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