A Newborn with Cardiac Failure Secondary to a Large Vein of Galen Malformation

2004 ◽  
Vol 97 (5) ◽  
pp. 516-518 ◽  
Author(s):  
Sergio G. Golombek ◽  
Shamiza Ally ◽  
Paul K. Woolf
Neurosurgery ◽  
1988 ◽  
Vol 22 (5) ◽  
pp. 908-910 ◽  
Author(s):  
Jane Matjasko ◽  
Walker Robinson ◽  
Daniel Eudaily

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.


2018 ◽  
Vol 05 (03) ◽  
pp. 198-200
Author(s):  
Ashutosh Kumar ◽  
Neeraja Ajayan ◽  
Manikandan Sethuraman ◽  
Ajay Prasad Hrishi

AbstractWeaning of patients with vein of Galen malformations (VOGM) from mechanical ventilation can be challenging in the postprocedure period due to underlying high-output cardiac failure and the fluid overload caused by the neurointervention procedure. We present the case of a neonate with VOGM who was refractory to multiple weaning attempts from mechanical ventilation and was successfully managed with noninvasive ventilation (NIV). NIV can be safely used as a method of weaning, post mechanical ventilation in this subset of patients. The use of NIV will facilitate successful weaning and reduce the incidence of extubation failure in neonates with VOGM in cardiac failure.


2016 ◽  
Vol 125 (3) ◽  
pp. 597-597 ◽  
Author(s):  
Ashley Smith ◽  
Todd Abruzzo ◽  
Mohamed Mahmoud

1997 ◽  
Vol 2 (2) ◽  
pp. 28-30
Author(s):  
P. Szkup ◽  
A. M. Cilliers

A four month old male infant who had a transarterial embolization of a large vein of Galen malformation attempted is reported. The infant presented in cardiac failure and a hydrocephalus. In addition the rare association of an apical ventricular septal defect and a patent ductus arteriosus with pulmonary hypertension was diagnosed. A staged transarterial coil embolisation using microcoils was commenced. The first attempt was uneventful. This was followed by the unfortunate demise of the patient from an intercurrent nosocomial pneumonia.


1987 ◽  
Vol 32 (3) ◽  
pp. 226-227 ◽  
Author(s):  
Asaf Aleem ◽  
Mary Ann Knesevich

A 34 year old patient presented with a schizophrenialike clinical picture, and was later found to have a large vein of Galen Arteriovenous Malformation (AVM). There are reports in the literature suggesting that vein of Galen AVMs are associated with psychiatric symptoms. However, the clinical pictures tend to be non specific. We discuss the relevance of the association of vein of Galen AVMs with schizophrenia-like symptomatology.


1996 ◽  
Vol 2 (2) ◽  
pp. 149-154 ◽  
Author(s):  
M. Moersdorf ◽  
P. Lasjaunias

The aim of the study was to quantify embolisation in a vein of Galen malformation by intraluminal measurements of flow velocities in the feeding vessels and to test a new 0.014-inch Doppler guide wire in the paediatric population. The examination was performed in a seven month old boy who presented with a vein of Galen malformation combined with congestive cardiac failure from birth. The measurements showed a decrease of the systolic and diastolic velocities and an increase in the effective downstream vascular resistance after closure of the high flow fistula. The decrease of the diastolic velocities after embolisation was more prominent because of the reduction of the sump effect responsible for the high diastolic velocity before embolisation. The reduction of about 40% of the vein of Galen malformation estimated with morphological criteria was associated with a decrease of the diastolic velocity in the basilar artery of about 50%. The clinical improvement led to the discontinuance of most of the cardiac treatment over a few days. These measurements seem to offer the possibility to assess the necessary reduction of the shunt to relieve CCF in a vein of Galen malformation.


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