Venous Malformation

If you have just been told that your child has a venous malformation, you probably have many questions and concerns. Most parents have never heard the term and have little knowledge about the treatment or outcomes. This page is intended to give you information about your child's condition.

What is a Venous Malformation?

A vascular malformation in which the veins are abnormally large.

What causes Venous Malformations?

The vessels that carry blood do not develop properly before birth. It is not the parent's fault.

How common are Venous Malformations?

Affects males and females at the same rate.


What is the "life cycle" of a Venous Malformation?

Venous malformations are typically present at birth, although some do not become apparent until adolescence or even adulthood. They may present as a bluish patch or mass and expand when in a dependent position. They are compressible and they grow proportionally to the size of the child.
Hormonal factors, such as puberty or pregnancy, may influence the growth.

What are the most common problems?

Phleboliths: A hard calcified knot in the vessel. This is a temporary, although bothersome occurrence that is best treated with warm, moist compresses, elevation of the area, and Tylenol for discomfort.

What if the Venous Malformation is traumatized?

Direct trauma or infection may trigger a rapid expansion. If you should experience knots or pain, take Tylenol for pain.

What are the treatment options?

Surgical excision.

Sclerotherapy: Recently, advances have been made with radiologic injection of an irritating solution into abnormal veins with subsequent reduction in the size of the vessels. This may be repeated and although not a permanent solution, it remains in many instances the best treatment This may be used in conjunction prior to surgery.

Sequential pneumatic tourniquet & compression garments: may be used to help with symptomatic control of swelling.

Laser: The YAG laser has proven to be very effective in treating the superficial blue vessels of a venous malformation.


Is there any support for the children or families?

Children's Medical Center of Dallas offers various areas of support to children and their families. A social worker is available if families have questions regarding the family's ability to optimally meet the child's special health careneeds. Also basis there is spiritual support available to patients and families 24 hours a day through Pastoral Care. If you have any questions, please contact our office at (214) 456-8888.

Be very careful when utilizing the Internet to gain insight into your child's condition. The Internet, while being very informative, can be equally uninformative. The Internet can provide you with information on your child's condition, but it does not address the needs of your particular child. Each child is unique and no two children follow the same course. The Internet will typically show you the most spectacular (and usually worst) cases for "shock value". Individual evaluation by a specialist is critical.

Dr. A. Jay Burns, M.D.
Director, Vascular Anomalies Clinic


The Fogelson Plastic Surgery &
Craniofacial Center for Children
Children's Medical Center of Dallas
6300 Harry Hines Boulevard
Suite 600
Dallas, Texas 75235