Catastrophic congenital hemangioma with severe coagulopathy leading to fatal cardiac failure: Case report and review. Issue 5 (30th September 2021)

• Record Type: Journal Article
• Authors: Cohen‐Cutler, Sally; Szymanski, Linda J.; Bockoven, Crystal; Miller, Joseph M.; Moke, Diana; Anselmo, Dean M.; Lee, Jessica; Luu, Minnelly
• Is Part Of: Pediatric dermatology. Volume 38:Issue 5(2021)
• Page Start: 1276
• Page End: 1282
• Publication Date: 2021-09-30
• Subjects: hemangiomas/vascular tumors -- neonatal -- therapy—systemic -- vascular malformation; Pediatric dermatology -- Periodicals; Children -- Diseases -- Periodicals; 618.925
• DOI: 10.1111/pde.14825
• Languages: English
• ISSNs: 0736-8046

Abstract

Abstract: We present a complex case of a neonate, delivered urgently for hydrops fetalis, with a large vascular mass of the extremity, diagnosed postnatally as a congenital hemangioma. The patient suffered immediate cardiac compromise and severe coagulopathy atypical for the diagnosis and subsequently died from these complications. Treatment was imperative but challenging due to a lack of a standardized treatment approach and few historical reports of equally critically ill patients. In this report, we review potential medical and surgical interventions and discuss treatment considerations in similar, life‐threatening cases of congenital hemangiomas.