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A rare, potentially life-threatening, vascular disease characterized by a direct communication between an artery and a vein, without the interposition of the capillary bed, ocurring in the systemic circulation (mainly the cranium, liver, lungs, extremities, and vessels in or near the thoracic wall). Manifestations are variable depending on size and extent of the fistula, the involved blood vessels and the precise location of the collaterals and may include systolic or continuous murmur over the affected organ, tachycardia, increased stroke volume, cardiomegaly and increased pulmonary vascular markings.
No approved treatments are currently available for congenital systemic arteriovenous fistula. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for congenital systemic arteriovenous fistula, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for congenital systemic arteriovenous fistula. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
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No clinical trials have been registered for congenital systemic arteriovenous fistula.
4 publications have been identified in PubMed for congenital systemic arteriovenous fistula. Research spans Case Report / Case Series (75%) and Review / Meta-Analysis (25%).
Callegari A (2026). [PMID: 40097841](https://pubmed.ncbi.nlm.nih.gov/40097841/). *Pediatric cardiology*. [Case Report / Case Series]
Peluso N (2025). [PMID: 40054609](https://pubmed.ncbi.nlm.nih.gov/40054609/). *Annals of vascular surgery*. [Review / Meta-Analysis]
Takada S (2025). [PMID: 40607261](https://pubmed.ncbi.nlm.nih.gov/40607261/). *Case reports in gastroenterology*. [Case Report / Case Series]
Kiel MD (2024). [PMID: 38770406](https://pubmed.ncbi.nlm.nih.gov/38770406/). *European heart journal. Case reports*. [Case Report / Case Series]
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 11:13 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Designated
Exclusivity End |
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Designation Status |
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vonapanitase | vonapanitase | Proteon Therapeutics, Inc. | 2009 | — | Designated |
View trials for congenital systemic arteriovenous fistula
AI-curated news mentioning congenital systemic arteriovenous fistula
Updated Apr 10, 2026
A recent study details the endovascular repair of significant twin aneurysms in the renal artery and vein linked by an arteriovenous fistula. This research contributes to the understanding of complex vascular anomalies and potential treatment strategies.
A recent study details the endovascular repair of an ilio-iliac arteriovenous fistula, which presented as acute lower limb edema. This research contributes to the understanding of vascular complications and their management.