Vascular malformation
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Classification and external resources
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MeSH
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D054079
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hannan Javed, M.D.[2] Anmol Pitliya, M.B.B.S. M.D.[3]
Overview
Vascular malformation is a blood vessel abnormality. There are many types, but the most common is arteriovenous malformation.[1]
It may cause aesthetic problems as it has a growth cycle and can continue to grow throughout life. This is also known as Vascular giantism or lymphangiomas.
Classification
| | | | | | | | | | | | Vascular malformations | | | | | | | | | | | | | | |
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| | Simple vascular malformations | | | | Combined vascular malformations* | | | | | Vascular malformations of major named vessels | | | | Vascular malformations asscoiated with other anomalies | | | | | |
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| | Capillary malformations (CM) | | | Lymphatic malformations (LM) | | | Venous malformations (VM) | | | Arteriovenous malformations (AVM) | | | Arteriovenous fistula | | | | |
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| | | | Nevus simplex / salmon patch, “angel kiss”, “stork bite” | | | |
Common (cystic) LM |
• Macrocystic LM | |
• Microcystic LM | |
• Mixed cystic LM | |
| | | | Common VM | | | | Sporadic | | | | Sporadic | | | |
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Cutaneous and/or mucosal CM (also known as “port-wine” stain) |
• Nonsyndromic CM | |
• CM with CNS and/or ocular anomalies (Sturge-Weber syndrome) | |
• CM with bone and/or soft tissues overgrowth | |
• Diffuse CM with overgrowth (DCMO) | |
| | | | Generalized lymphatic anomaly (GLA) Kaposiform lymphangiomatosis (KLA) | | | | Familial VM cutaneo-mucosal (VMCM) | | | | In HHT | | | | In HHT | | | | | |
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Reticulate CM |
• CM of MIC-CAP (microcephaly-capillary malformation) | |
• CM of MCAP (megalencephaly-capillary malformation-polymicrogyria) | |
| | | | LM in Gorham-Stout disease | | | | Blue rubber bleb nevus (Bean) syndrome VM | | | | In CM-AVM | | | | In CM-AVM | | | | | | |
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| | | | CM of CM-AVM | | | | Channel type LM | | | | Glomuvenous malformation (GVM) | | | | Others | | | | Others | | | | | | | |
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| | | | Cutis marmorata telangiectatica congenita (CMTC) | | | | “Acquired” progressive lymphatic anomaly (so called acquired progressive "lymphangioma") | | | | Cerebral cavernous malformation (CCM) | | | | | | | | | | | | | | | | | |
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| | | | Others | | | | Primary lymphedema | | | | Familial intraosseous vascular malformation (VMOS) | | | | | | | | | | | | | | | | | |
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Telangiectasia |
• Hereditary hemorrhagic telangiectasia (HHT) | |
• Others | |
| | | | Others | | | | Verrucous venous malformation (formerly verrucous hemangioma) | | | | | | | | | | | | | | | | | |
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| | | | | | | | | | | | | | Others | | | | | | | | | | | | | | | | | |
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Simple Vascular Malformations
Combined Vascular Malformations
CM + VM | Capillary-venous malformation | CVM |
CM + LM | Capillary-lymphatic malformation | CLM |
CM + AVM | Capillary-arteriovenous malformation | CAVM |
LM + VM | Lymphatic-venous malformation | LVM |
CM + LM + VM | Capillary-lymphatic-venous malformation | CLVM |
CM + LM + AVM | Capillary-lymphatic-arteriovenous malformation | CLVM |
CM + VM + AVM | Capillary-venous-arteriovenous malformation | CVAVM |
CM + LM + VM + AVM | Capillary-lymphatic-venous-arteriovenous malformation | CLVAVM |
Vascular Malformations of Major Named Vessels
(also known as "channel type" or "truncal" vascular malformations)
Affect |
• Lymphatics | |
• Veins |
• Arteries |
Anomalies of |
• Origin | |
• Course | |
• Number | |
• Diameter (aplasia, hypoplasia, stenosis, ectasia / aneurysm) | |
• Valves | |
• Communication (AVF) | |
• Persistence (of embryonal vessel) | |
Vascular Malformations associated With other Anomalies
Klippel-Trenaunay syndrome | CM + VM +/-LM + limb overgrowth |
Parke's Weber syndrome | CM + AVF + limb overgrowth |
Servelle-Martorell syndrome | Limb VM + bone undergrowth |
Sturge-Weber syndrome | Facial + leptomeningeal CM + eye anomalies
+/-bone and/or soft tissue overgrowth |
Maffucci syndrome | VM +/-spindle-cell hemangioma + enchondroma |
CLOVES syndrome | LM + VM + CM +/-AVM+ lipomatous overgrowth |
Proteus syndrome | CM, VM and/or LM + asymmetrical somatic overgrowth |
Bannayan-Riley-Ruvalcaba sd | lower lip CM + face and neck LM + asymmetry and partial/generalized overgrowth |
Limb CM + congenital non-progressive limb overgrowth |
Macrocephaly-CM (M-CM / MCAP) |
Microcephaly-CM (MICCAP) |
See also
References
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