Multiple cerebral arteriovenous fistulas with malformations in the fetus or
neonate are rare. Here we describe a patient who had these lesions with pu
lmonary stenosis, resulting in severe brain atrophy in utero and intractabl
e heart failure after birth. The pathophysiology of this patient is discuss
ed in hemodynamic terms. (C) 2001 by Elsevier Science Inc. All rights reser
ved.