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Vascular Malformations

Arneja, Jugpal S. M.D.; Gosain, Arun K. M.D.

Plastic and Reconstructive Surgery: April 2008 - Volume 121 - Issue 4 - p 195e-206e
doi: 10.1097/01.prs.0000304607.29622.3c
CME: CME-Online

Learning Objectives: After studying this article, the participant should be able to: 1. Understand the nomenclature and classification system of vascular malformations. 2. Evaluate these patients diagnostically. 3. Outline the surgical and nonsurgical options for treating these lesions.

Summary: Vascular anomalies can be classified into two unique groups—hemangiomas and vascular malformations—based on their endothelial properties. The present review focuses on vascular malformations rather than hemangiomas. The authors address capillary malformations, lymphatic malformations, venous malformations, and arteriovenous malformations. Diagnostic and therapeutic modalities are discussed with relevant case examples. A MEDLINE search was performed to gather all pertinent references. The physician treating these challenging lesions should ideally use a multidisciplinary team–based approach with multispecialty experience in diagnostic and therapeutic modalities for the management of vascular malformations.

Detroit, Mich.; and Cleveland, Ohio

From the Section of Plastic Surgery, Children’s Hospital of Michigan–Wayne State University, and the Division of Plastic Surgery, Rainbow Babies and Children’s Hospital, Case Western Reserve University.

Received for publication August 5, 2006; accepted October 19, 2006.

Disclosure:Neither of the authors has a financial interest in any of the devices, products, or drugs mentioned in this article.

Arun K. Gosain, M.D., Division of Plastic Surgery, Rainbow Babies and Children’s Hospital, Case Western Reserve University, University Hospital (Lakeside), 5th Floor, Mail Stop 5044, 11100 Euclid Avenue, Cleveland, Ohio 44106, arun.gosain@uhhs.com

©2008American Society of Plastic Surgeons