RT Journal A1 Murray DE, Meyerowitz BR, Hutter JJ T1 COngenital arteriovenous fistula causing congestive heart failure in the newborn JF JAMA JO JAMA YR 1969 FD August 4 VO 209 IS 5 SP 770 OP 771 DO 10.1001/jama.1969.03160180116018 UL http://dx.doi.org/10.1001/jama.1969.03160180116018 AB A large arteriovenous fistula, involving the epigastric arteries and the umbilical vein and associated with congestive heart failure, occurred in a newborn infant. An aortogram was made through the umbilical artery. Then the involved vessels were ligated and excised. The cardiomegaly rapidly decreased in size, and the infant recovered. The signs of these fistulas include heart failure, widened pulse pressure, bruit, and thrill.