A0045 Anesthetic Management of Patients Presenting with Vein of Galen Malformation for Endovascular/Surgical Treatment: A 10-Year Retrospective Analysis

Abstract A 12-day-old infant in intractable cardiac failure due to a vein of Galen malformation was treated successfully with serial ligation of the majority of the vessels feeding the malformation. Despite some residual vascular supply to the malformation, the congestive heart failure has disappeared and growth and development have been normal over a 3-year follow-up period.

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Retreatment of a choroidal vein of Galen malformation with embolization 42 years after open surgical treatment in the neonatal period

BMJ Case Reports ◽

10.1136/bcr-2016-012709 ◽

2016 ◽

pp. bcr2016012709

Author(s):

Lucas Elijovich ◽

Asim F Choudhri ◽

Adam S Arthur ◽

Paul Klimo ◽

Frederick A Boop ◽

...

Keyword(s):

Surgical Treatment ◽

Neonatal Period ◽

Vein Of Galen ◽

Vein Of Galen Malformation ◽

Open Surgical Treatment

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Anesthetic Management during Interventional Neuroradiologic Embolization of a Vein of Galen Malformation: A case report

Korean Journal of Anesthesiology ◽

10.4097/kjae.2001.41.3.388 ◽

2001 ◽

Vol 41 (3) ◽

pp. 388

Author(s):

Kyu Seok Han ◽

Sung Sik Park ◽

Dong Gun Lim ◽

Yong Sun Kim ◽

Jung Gil Hong

Keyword(s):

Case Report ◽

Anesthetic Management ◽

Vein Of Galen ◽

Vein Of Galen Malformation

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Republished: Retreatment of a choroidal vein of Galen malformation with embolization 42 years after open surgical treatment in the neonatal period

Journal of NeuroInterventional Surgery ◽

10.1136/neurintsurg-2016-012709.rep ◽

2016 ◽

Vol 9 (5) ◽

pp. e19-e19

Author(s):

Lucas Elijovich ◽

Asim F Choudhri ◽

Adam S Arthur ◽

Paul Klimo ◽

Frederick A Boop ◽

...

Keyword(s):

Surgical Treatment ◽

Cerebral Artery ◽

Intraventricular Hemorrhage ◽

Open Surgery ◽

Anterior Cerebral Artery ◽

Neonatal Period ◽

Venous Hypertension ◽

Vein Of Galen ◽

Vein Of Galen Malformation ◽

Open Surgical Treatment

In 1976 an infant boy initially presented with a choroidal vein of Galen malformation (cVOGM). Craniotomy and clipping of the anterior cerebral artery and posterior choroidal arteries was performed, which was reported in the literature 40 years ago. The patient remained asymptomatic until age 42 when he re-presented with an isolated intraventricular hemorrhage. Angiography demonstrated cVOGM with venous sinus occlusive disease leading to venous hypertension and subsequent intraventricular hemorrhage. The angiogram also demonstrated a ‘pseudo-nidus’ composed of multiple arterial-to-arterial anastomoses that had developed as a result of the original surgical treatment. We embolized a portion of the lesion to reduce the venous hypertension. The patient has been asymptomatic for more than 2 years. To our knowledge, this is the first reported case of a symptomatic neonatal VOGM treated with open surgery that required embolization as an adult for a delayed hemorrhagic presentation.

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PREDICTIVE FACTORS IN THE CHOICE OF SURGICAL TREATMENT FOR COLORECTAL CANCER WITH LAPAROSCOPIC OR "OPEN" ACCESS

Problems in oncology ◽

10.37469/0507-3758-2017-63-3-470-474 ◽

2017 ◽

Vol 63 (3) ◽

pp. 470-474

Author(s):

Rustem Topuzov ◽

Georgiy Manikhas ◽

Eskender Topuzov ◽

Mikhail Khanevich ◽

Magomed Abdulaev ◽

...

Keyword(s):

Colorectal Cancer ◽

Surgical Treatment ◽

Postoperative Complications ◽

Open Access ◽

Comparative Study ◽

Retrospective Analysis ◽

Predictive Factors

There are presented results of surgical treatment of 347 patients with colorectal cancer. Based on the retrospective analysis a comparative study of results of surgical treatment for colorectal cancer using laparoscopic technologies and “open” access was carried out. Predictive factors that correlate with the risk of postoperative complications with laparoscopic and “open” access at the surgical stage of treatment for colorectal cancer were determined.

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A cardiopulmonary bypass strategy to support a patient with vein of Galen malformation

Perfusion ◽

10.1177/02676591211001534 ◽

2021 ◽

pp. 026765912110015

Author(s):

Alex Robertson ◽

Nagarajan Muthialu ◽

Mike Broadhead

Keyword(s):

Cardiopulmonary Bypass ◽

Surgical Repair ◽

Circulatory Arrest ◽

Ductus Arteriosus ◽

Venous Drainage ◽

Deep Hypothermic Circulatory Arrest ◽

Vein Of Galen ◽

Vein Of Galen Malformation ◽

Neurological Sequelae ◽

Ph Stat

We present a dissection of the patent ductus arteriosus and pulmonary artery for surgical repair utilising cardiopulmonary bypass in the setting of vein of Galen malformation. Several strategies were employed to attenuate the cerebral shunt including pH-stat, high cardiac index, restrictive venous drainage, continuous ventilation and deep hypothermic circulatory arrest. The patient recovered from surgery with no apparent neurological sequelae.

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