Forthcoming Issue Vol. 19 no. 1 Cavernous Haemangioma causing High Output Cardiac Failure in a Neonate
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Abstract
Infantile haemangiomas are benign tumours orginating from the vascular endothelium, representing one of the most common neoplasms of childhood. In this case report, we represent a unique occurence if a neonate born at term with a large cavernous haemangioma on the scalp, initially identified at a district hospital and subsequently referred to a tertiary facility on the first day of life. Unexpectedly, the neonate developed high output cardiac failure on the second day of life, characterised by echocardiographic findings of a dilated right atrium, right ventricle and tricuspid regurgitation without evidence of structural abnormalities or arteriovenous fistulas. The neonate also developed kasabach merit syndrome. To our knowledge, this is the first documented case of cavernous haemangioma precipitating high output cardiac failure in the literature. Despite optimal therapy for cardiac failure, the neonates condition deteriorated, leading to an unfortunate demise while awaiting a CT angiogram. An academic post mortem confirmed teh presence of a cavernous haemagioma, highlighting the need for heightened awareness of atypical presentations of neonatal vascular anomalies.
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