De Novo Formation of Direct Arteriovenous Fistula Involving Anterior Communicating Artery Aneurysm in Remote Site from Prior Ruptured Arteriovenous Malformation in Pediatric Patient: Case Report and Review of Literature

Symptomatic scalp fistula present in a 14-month-old toddler

“…Long-term surveillance of vasculature may be required since vascular abnormalities may go undetected for lengths of time during their development. Continued use of MRIs, CT and digital subtraction angiography (DSA) has shown to be very effective in following the growth of fistulas and other arteriovenous malformations 3…”

“…CT angiographies demonstrated an aneurysmal dilation however, resulted in a direct AVF. Both the aneurysmal dilation and the subsequent AVF were dissected and the patient was released to long-term acute care 3…”