Pediatric Vascular Anomalies: Clinical Diagnosis and Treatment

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Oncology and Hematology".

Deadline for manuscript submissions: closed (20 March 2022) | Viewed by 7999

Special Issue Editors


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Guest Editor
Division of Pediatric Hematology and Oncology, Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, 3012 Bern, Switzerland
Interests: vascular anomalies; pediatric solid tumors; rare tumors; personlized medicine

E-Mail Website
Guest Editor
Department of Pediatric Hematology and Oncology, Center for Pediatrics, Medical Center, University of Freiburg, 79106 Freiburg, Germany
Interests: vascular anomalies; pediatric solid tumors; rare tumors; personlized medicine

Special Issue Information

Dear Colleagues,

It is a great honor to invite you to collaborate on this first Special Issue on Pediatric Vascular Anomalies. We are hoping to leverage the experience of seasoned clinicians and emerging young talent around the world to build an exciting issue with interesting contributions.

We are hoping to create a broad-based, international, and interdisciplinary collection of manuscripts on the most pressing problems in Pediatric Vascular Anomalies. The diagnosis of most vascular anomalies is realized at the pediatric age. Most of them are very rare. In the last few years, new medical treatments have entered the field of vascular anomalies, which has been dominated for many years by surgical, interventional radiological, and other local therapeutic approaches. Lately, a personalized medical strategy has been possible due to new findings in biology and genetics regarding vascular anomalies.

Our vision is to update the diagnostic and therapeutic measures used to treat vascular anomalies, and for this we need your expertise.

Prof. Dr. Jochen Karl Rössler
Dr. Friedrich Kapp
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • vascular anomalies
  • lymphatic malformations
  • venous malformations
  • arterio-venous malformations
  • hemangioma
  • hemangioendothelioma

Published Papers (1 paper)

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Review

17 pages, 1091 KiB  
Review
Presentation of Congenital Portosystemic Shunts in Children
by Atessa Bahadori, Beatrice Kuhlmann, Dominique Debray, Stephanie Franchi-Abella, Julie Wacker, Maurice Beghetti, Barbara E. Wildhaber, Valérie Anne McLin and on behalf of the IRCPSS
Children 2022, 9(2), 243; https://0-doi-org.brum.beds.ac.uk/10.3390/children9020243 - 11 Feb 2022
Cited by 9 | Viewed by 7503
Abstract
Background: Congenital portosystemic shunts (CPSS) are rare vascular anomalies resulting in communications between the portal venous system and the systemic venous circulation, affecting an estimated 30,000 to 50,000 live births. CPSS can present at any age as a multi-system disease of variable severity [...] Read more.
Background: Congenital portosystemic shunts (CPSS) are rare vascular anomalies resulting in communications between the portal venous system and the systemic venous circulation, affecting an estimated 30,000 to 50,000 live births. CPSS can present at any age as a multi-system disease of variable severity mimicking both common and rare pediatric conditions. Case presentations: Case A: A vascular malformation was identified in the liver of a 10-year-old girl with tall stature, advanced somatic maturation, insulin resistance with hyperinsulinemia, hyperandrogenemia and transient hematuria. Work-up also suggested elevated pulmonary pressures. Case B: A young girl with trisomy 8 mosaicism with a history of neonatal hypoglycemia, transient neonatal cholestasis and tall stature presented newly increased aminotransferase levels at 6 years of age. Case C: A 3-year-old boy with speech delay, tall stature and abdominal pain underwent abdominal ultrasound (US) showing multiple liver nodules, diagnosed as liver hemangiomas by hepatic magnetic resonance imaging (MRI). Management and outcome: After identification of a venous malformation on liver Doppler US, all three patients were referred to a specialized liver center for further work-up within 12 to 18 months from diagnosis. Angio-computed tomography (CT) scan confirmed the presence of either an intrahepatic or extrahepatic CPSS with multiples liver nodules. All three had a hyperintense signal in the globus pallidus on T1 weighted cerebral MRI. Right heart catheterization confirmed pulmonary hypertension in cases A and C. Shunts were closed either using an endovascular or surgical approach. Liver nodules were either surgically removed if there was a risk of malignant degeneration or closely monitored by serial imaging when benign. Conclusion: These cases illustrate most of the common chief complaints and manifestations of CPSS. Liver Doppler US is the key to diagnosis. Considering portosystemic shunts in the diagnostic work-up of a patient with unexplained endocrine, liver, gastro-intestinal, cardiovascular, hematological, renal or neurocognitive disorder is important as prompt referral to a specialized center may significantly impact patient outcome. Full article
(This article belongs to the Special Issue Pediatric Vascular Anomalies: Clinical Diagnosis and Treatment)
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