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November 1991

Arteriovenous Malformation Treated With Embolization and Laser Therapy

Author Affiliations

New York (NY) University Medical Center

Arch Dermatol. 1991;127(11):1642-1644. doi:10.1001/archderm.1991.01680100042002

REPORT OF A CASE  In March 1988, a 5-month-old baby girl was examined for a bright-red macular discoloration involving the lower two thirds of the left ear, extending down to the retroauricular and preauricular skin (Fig 1). Her left ear was markedly hypertrophic, compared with her right ear, and was warm to the touch. A bruit and a thrill were heard. The child's physical and cognitive development was otherwise normal.The patient was evaluated at age 8 months and again at age 1 year. At this time, the patient underwent magnetic resonance imaging and angiography. The arteriovenous malformation (AVM) had arteriovenous fistulization supplied primarily by the posterior and anterior auricular arteries (Fig 2, A). At the age of 16 months, the patient underwent selective embolization with cyanoacrylate isobutyl. The embolization was successful in devascularizing approximately 95% of the malformation (Fig 2, B). Following this procedure, the size of the left

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