Key result
Endocrine-dependent hemangiomas with arteriovenous fistulae developing during pregnancy caused profound high-output cardiac failure that promptly resolved at delivery.
Pregnancy-induced endocrine-dependent hemangiomas can cause high-output cardiac failure that resolves upon delivery.
High-output HF risk warrants vigilance with pregnancy hemangiomas; leaves open genetic screening for familial vascular nevi.
A 21-year-old Negro woman developed large hemangiomas in the sixth month of her pregnancy. Arteriovenous fistulae resulted in profound high output cardiac failure. All lesions promptly resolved at delivery. Three members of the immediate family showed various types of vascular nevi.
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O’Tar T. Norwood (1964) studied this question. Endocrine-dependent hemangiomas with arteriovenous fistulae developing during pregnancy caused profound high-output cardiac failure that promptly resolved at delivery.
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