{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T01:51:13Z","timestamp":1648864273835},"reference-count":20,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Vascular Medicine"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Acquired AVF in pediatrics are commonly caused by iatrogenic means, including arterial or venous punctures. These fistulae can cause great hemodynamic stress on the heart as soon as they are created.<jats:italic>Case<\/jats:italic>. A six-month-old 25-week gestation infant was referred for respiratory distress. Initial exam revealed tachypnea, tachycardia, and hypertension. There was a bruit noted on her left arm. An ultrasound showed an arteriovenous fistula. Its location, however, precluded intervention because of the high risk for limb-loss. An echocardiogram showed evidence of pulmonary hypertension that was treated with sildenafil and furosemide. However, no improvement was seen. On temporary manual occlusion of the fistula, the patient was noted to have increased her blood pressure and decreased her heart rate, suggesting significant hemodynamic effect of the fistula. The fistula was subsequently ligated and the patient clinically and echocardiographically improved.<jats:italic>Conclusion<\/jats:italic>. A patient in high output cardiac failure or pulmonary artery hypertension, especially premat\u00fcre patients with preexisting lung disease, should be probed for history of multiple punctures, trauma, or surgery and should have prompt evaluation for AVF. If it can be diagnosed and repaired, most of the cases have been shown to decrease the stress on the heart and reverse the pathologic hemodynamics.<\/jats:p>","DOI":"10.1155\/2016\/8564081","type":"journal-article","created":{"date-parts":[[2016,1,14]],"date-time":"2016-01-14T22:58:05Z","timestamp":1452812285000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["High Output Cardiac Failure Resolving after Repair of AV Fistula in a Six-Month-Old"],"prefix":"10.1155","volume":"2016","author":[{"given":"Uygar","family":"Teomete","sequence":"first","affiliation":[{"name":"University of Miami Miller School of Medicine, Department of Radiology, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rubee Anne","family":"Gugol","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, Department of Pediatrics, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly","family":"Neville","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozgur","family":"Dandin","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, Department of Surgery, Ryder Trauma Center, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Lon","family":"Young","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, Department of Pediatrics, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000336"},{"key":"2","first-page":"250","volume":"3","year":"1890","journal-title":"International Journal of Surgery"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfh124"},{"key":"4","doi-asserted-by":"crossref","first-page":"908","DOI":"10.4065\/78.7.908","volume":"78","year":"2003","journal-title":"Mayo Clinic Proceedings"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/s0967-2109(03)00058-9"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1378\/chest.132.4_meetingabstracts.729a"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12241"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2002.36329"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm549"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-139X.1999.00007.x"},{"issue":"2","key":"11","first-page":"159","volume":"54","year":"1984","journal-title":"Archivos del Instituto de Cardiologia de Mexico"},{"key":"12","volume":"79, article 532","year":"1950","journal-title":"The American Journal of Surgery"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/BF03016837"},{"issue":"1","key":"14","first-page":"50","volume":"12","year":"2006","journal-title":"Diagnostic and Interventional Radiology"},{"issue":"6","key":"15","doi-asserted-by":"crossref","first-page":"809","DOI":"10.7863\/jum.2006.25.6.809","volume":"25","year":"2006","journal-title":"Journal of Ultrasound in Medicine"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1177\/000992280204100216"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.0332"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.3233\/CH-2010-1339"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.3233\/ch-2011-1398"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1258\/004947507781524665"}],"container-title":["Case Reports in Vascular Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crivam\/2016\/8564081.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crivam\/2016\/8564081.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crivam\/2016\/8564081.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,23]],"date-time":"2017-06-23T23:46:15Z","timestamp":1498261575000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crivam\/2016\/8564081\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":20,"alternative-id":["8564081","8564081"],"URL":"https:\/\/doi.org\/10.1155\/2016\/8564081","relation":{},"ISSN":["2090-6986","2090-6994"],"issn-type":[{"value":"2090-6986","type":"print"},{"value":"2090-6994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}