Respiratory distress in term neonates is usually due to transient tacypnea of neonate, pneumonia, sepsis, congenital heart defects. Vascular malformations can sometimes cause respiratory distress via obstructing trachea. Arteriovenous malformations (AVM) are although congenital, usually detected at infant period after 2 months of age. Here we present a neonate with respiratory distress diagnosed just after birth due to hepatic AVM.
A neonate with 2570 gr birth weight was born at 37th gestational week and entubated due to respiratory distress at delivery room. Due to murmur on auscultation ecocardiography was performed and a very mild pulmonary hypertension and atrial septal defect were diagnosed. She was transported to our hospital at 9th day of life. Abdominal USG was performed for accompanying anomalies and dilation of right and middle hepatic veins, venous shunt between right and middle branches, multiple collateral veins in right lobe of liver were detected. Hemangioma was diagnosed and beta blocker treatment was started. Cranial USG was normal. Abdominal computerized tomography with contrast reported AVM in liver. She could not extubated due to venous shunts and liver transplantation was offered for therapy. Parents did not accept this treatment and at 24th day of life she died due to cardiac failure.
AVM must be in mind in term neonates with respiratory distress from birth

0407 - A RARE CAUSE OF RESPIRATORY DISTRESS IN NEONATES: HEPATIC A-V MALFORMATION