Giant arteriovenous fistula of the vein of Galen in early infancy treated successfully with surgery

1980 ◽  
Vol 53 (5) ◽  
pp. 703-706 ◽  
Author(s):  
Jose Andres Alvarez-Garijo ◽  
Manuel Vila Mengual ◽  
Dario Taboada Gomila ◽  
Adela Alonso Martin
Keyword(s):  
Heart Failure ◽  
Arteriovenous Fistula ◽  
Vein Of Galen ◽  
Cerebral Damage ◽  
Left Hemiparesis ◽  
Content Type ◽  
Feeding Vessels ◽  
Unusual Lesion ◽  
Persistent Hydrocephalus ◽  
Fine Print

✓ A giant arteriovenous fistula in a newborn infant was treated by surgical occlusion of the feeding vessels at 20 days of life. Congestive heart failure responded favorably to operative treatment. Because of persistent hydrocephalus, a shunt was inserted at 2 months of age. At 9 months of age, the child remained without signs of cardiac failure. Cerebral damage was manifested by a mild left hemiparesis. Successful surgical treatment of this unusual lesion in a neonate is exceptional.

The syndromes and surgical treatment of aneurysms of the great vein of Galen

1973 ◽  
Vol 39 (1) ◽  
pp. 89-98 ◽  
Author(s):  
A. Loren Amacher ◽  
John Shillito
Keyword(s):  
Heart Failure ◽  
Surgical Treatment ◽  
Newborn Infants ◽  
Surgical Techniques ◽  
Vein Of Galen ◽  
Content Type ◽  
Point Of Entry ◽  
Feeding Vessels ◽  
Great Vein ◽  
Fine Print

✓ The authors review 37 cases of primary aneurysms of the vein of Galen reported in the literature and present five new ones. The magnitude of the shunt from arterial feeders to the primary aneurysm indicates the age at which the patient's symptoms first appeared as well as the nature and severity of those symptoms. Newborn infants have intractable heart failure, older infants have hydrocephalus, and adolescents have headache and syncope. Four clinical categories, based on the time of onset of symptoms, are described, and the diagnostic studies and surgical techniques discussed. Four-vessel angiography and ligation of the feeding vessels at the point of entry into the vein of Galen are recommended.

Arteriovenous fistula with associated aneurysms coexisting with dural arteriovenous malformation of the anterior inferior falx

1999 ◽  
Vol 91 (2) ◽  
pp. 303-307 ◽  
Author(s):  
John Ratliff ◽  
Rand M. Voorhies
Keyword(s):  
Arteriovenous Malformation ◽  
Arteriovenous Fistula ◽  
Left Vertebral Artery ◽  
External Carotid ◽  
Vein Of Galen ◽  
Dural Arteriovenous Malformation ◽  
Content Type ◽  
Sagittal Sinus ◽  
Dural Avm ◽  
Fine Print

✓ This 24-year-old man presented with an unusual case of a high-flow arteriovenous fistula (AVF). This lesion was similar to giant AVFs in children that have been previously described in the literature. In patients in whom abnormalities of the vein of Galen have been excluded and in whom presentation occurs after 20 years of age, a diagnosis of congenital AVF is quite unusual.The fistula in this case originated in an enlarged callosomarginal artery and drained into the superior sagittal sinus via a saccular vascular abnormality. Two giant aneurysmal dilations of the fistula were present. In an associated finding, a small falcine dural arteriovenous malformation (AVM) was also present. Arterial supply to the AVM arose from both external carotid arteries and the left vertebral artery, with drainage through an aberrant vein in the region of the inferior sagittal sinus into the vein of Galen.Craniotomy with exposure and trapping of the AVF was performed, with subsequent radiosurgical (linear accelerator) treatment of the dural AVM. Through this combination of microsurgical trapping of the AVF and radiotherapy of the dural AVM, an excellent clinical outcome was achieved.

Therapeutic alternatives for vein of Galen vascular malformations

1993 ◽  
Vol 78 (3) ◽  
pp. 438-445 ◽  
Author(s):  
Pedro Lylyk ◽  
Fernando Viñuela ◽  
Jacques E. Dion ◽  
Gary Duckwiler ◽  
Guido Guglielmi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Vascular Malformations ◽  
Clinical Status ◽  
Severe Congestive Heart Failure ◽  
Type I ◽  
Vein Of Galen ◽  
Content Type ◽  
Type Iv ◽  
Fine Print

✓ From September, 1986, to March, 1990, the authors treated 28 children harboring a vein of Galen vascular malformation. Eleven (39.3%) of the patients were neonates, 13 (46.4%) were 1 to 2 years old, and four (14.3%) were more than 2 years old. Fifteen patients (53.6%) presented with severe congestive heart failure, six (21.4%) had seizures, four (14.3%) had hydrocephalus, and three (10.7%) presented with intraventricular hemorrhage. Based on the Yaşargil classification of malformations, 10 lesions (35.7%) were Type I, seven (25%) were Type II, eight (28.6%) were Type III, and three (10.7%) were Type IV. In 11 patients (39.3%), a combined transfemoral, transarterial, and transvenous embolization of the vein of Galen malformation was performed. A pure transtorcular approach was utilized in eight patients (28.6%), and postembolization surgical clipping of arterial feeders was performed in two cases with intractable congestive heart failure. Complete anatomical occlusion of the galenic malformation was achieved in 13 patients (46.4%). An immediate postembolization improvement in the patient's clinical status was obtained in 23 (82.1%) of 28 patients and a good long-term clinical outcome was seen in 17 patients (60.7%). Five deaths (17.9%) occurred in this series of 28 patients; three (10.7%) were related to a transtorcular embolization and two (7.1%) to the unchanged natural history of the disease.

Giant aneurysm arising from a single arteriovenous fistula in a child

1984 ◽  
Vol 60 (5) ◽  
pp. 1085-1088 ◽  
Author(s):  
Rafael Carrillo ◽  
Luis Miguel Carreira ◽  
José Prada ◽  
Cesareo Rosas ◽  
Guillermo Egas
Keyword(s):  
Brain Stem ◽  
Arteriovenous Fistula ◽  
Posterior Cerebral Artery ◽  
Giant Aneurysm ◽  
Vein Of Galen ◽  
Feeding Artery ◽  
Content Type ◽  
The Right ◽  
The Brain ◽  
Fine Print

✓ A case is presented of a child with an arteriovenous fistula and a giant aneurysm located beside the brain stem under the right temporal lobe. It was successfully treated by clipping its feeding artery, a branch of the right posterior cerebral artery. The similarities to, and the differences from, aneurysms of the vein of Galen are discussed.

Treatment of vein of Galen aneurysmal malformation

1989 ◽  
Vol 70 (5) ◽  
pp. 746-750 ◽  
Author(s):  
Pierre Lasjaunias ◽  
Georges Rodesch ◽  
Phillippe Pruvost ◽  
Françoise Grillot Laroche ◽  
Pierre Landrieu
Keyword(s):  
Arteriovenous Fistula ◽  
Head Circumference ◽  
Vein Of Galen ◽  
Endovascular Techniques ◽  
Quality Of Results ◽  
Content Type ◽  
Appropriate Treatment ◽  
Proper Analysis ◽  
Fine Print

✓ The authors report the case of a vein of Galen aneurysmal malformation in a 1-year-old baby presenting with an enlarging head. The lesion was a direct arteriovenous fistula in a dilated vein of Galen and was treated by complete embolization in one session. Four months after occlusion of the shunt, the ectatic vein of Galen and torcular were normal, and the head circumference had stabilized. This case serves as an opportunity to emphasize the quality of results that can be obtained with endovascular techniques. Proper analysis of the vein of Galen angioarchitecture allows planning for appropriate treatment with the lowest possible risk of morbidity and mortality.

Resection of a large temporooccipital parenchymal arteriovenous fistula by using deep hypothermic circulatory bypass

1997 ◽  
Vol 87 (6) ◽  
pp. 934-939 ◽  
Author(s):  
Fredric B. Meyer ◽  
Robert E. Grady ◽  
Martin D. Abel ◽  
Douglas A. Nichols ◽  
Sergio S. Caminha ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Arteriovenous Fistula ◽  
Postoperative Management ◽  
Content Type ◽  
Hypothermic Cardiopulmonary Bypass ◽  
Feeding Vessels ◽  
Fine Print

✓ The authors believe this to be the first published case in which a deep hypothermic cardiopulmonary bypass was used to facilitate resection of a large parenchymal arteriovenous fistula. The use of this procedure facilitated resection of the lesion by allowing compression and manipulation of large venous varices that were overlying the deeper arterial feeding vessels. The surgical rationale, technique, and intra- and postoperative management are discussed.

Transumbilical embolization of a congenital dural arteriovenous fistula at the torcular herophili in a neonate

1999 ◽  
Vol 90 (5) ◽  
pp. 964-969 ◽  
Author(s):  
Masaki Komiyama ◽  
Misao Nishikawa ◽  
Shouhei Kitano ◽  
Hiroaki Sakamoto ◽  
Nobuhiro Miyagi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Arteriovenous Fistula ◽  
Blood Supply ◽  
Dural Arteriovenous Fistula ◽  
Vascular Anomaly ◽  
Venous Intervention ◽  
Transvenous Embolization ◽  
Content Type ◽  
Fine Print ◽  
High Output

✓ A neonate, in whom a congenital cerebral vascular anomaly had been diagnosed prenatally, exhibited progressive high-output congestive heart failure soon after birth. Cerebral angiography revealed a congenital dural arteriovenous fistula (AVF) with a huge dural lake located at the torcular herophili. In addition to the meningeal blood supply, an unusual pial blood supply from all cerebellar arteries was observed to feed the fistula. The patient was treated by repeated transarterial and transvenous embolization through the umbilical venous route. To the authors' knowledge, neither the existence of a congenital dural AVF at the torcular herophili presenting with an enormous pial blood supply or the technique of transumbilical venous intervention has been reported in the literature.

Traumatic arteriovenous fistula of the vertebral artery with spinal cord symptoms

1977 ◽  
Vol 46 (5) ◽  
pp. 681-687 ◽  
Author(s):  
Chikao Nagashima ◽  
Takashi Iwasaki ◽  
Seiichi Kawanuma ◽  
Arata Sakaguchi ◽  
Akira Kamisasa ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Rapid Improvement ◽  
Direct Closure ◽  
Content Type ◽  
Vertebral Arteriovenous Fistula ◽  
Fine Print

✓ The authors report a case of a traumatic vertebral arteriovenous fistula with spinal cord symptoms. Direct closure of the fistula was followed by rapid improvement.

Galenic dural arteriovenous fistula: unusual clinical presentation and successful endovascular therapy

2002 ◽  
Vol 97 (2) ◽  
pp. 467-470 ◽  
Author(s):  
John B. Weigele ◽  
John C. Chaloupka ◽  
Walter S. Lesley
Keyword(s):  
Magnetic Resonance ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Clinical Presentation ◽  
Magnetic Resonance Images ◽  
Interstitial Edema ◽  
Content Type ◽  
Clinical Recovery ◽  
Structural Abnormalities ◽  
Fine Print

✓ The authors report a case in which the clinical and neuroimaging findings were initially considered diagnostic of a brainstem glioma. Angiography revealed a deep venous system (galenic) dural arteriovenous fistula causing brainstem interstitial edema. Successful endovascular surgery resulted in complete clinical recovery of the patient and resolution of the structural abnormalities that had been observed on magnetic resonance images. The neuroimaging and therapeutic significance of this case are discussed.

Excision of a congenital suboccipital vertebral arteriovenous fistula

1972 ◽  
Vol 37 (4) ◽  
pp. 452-456 ◽  
Author(s):  
Albert D. Bartal ◽  
Morris J. Levy
Keyword(s):  
Arteriovenous Malformation ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Surgical Approach ◽  
Left Ventricular ◽  
Content Type ◽  
Vertebral Arteriovenous Fistula ◽  
Cardiac Enlargement ◽  
Major Consideration ◽  
Fine Print

✓ This report describes the successful excision of a congenital vertebral arteriovenous malformation in an 8-year-old child. There was mild effort dyspnea and left ventricular cardiac enlargement; a left-to-right vertebral artery steal across the basilar trifurcation was a major consideration in planning the surgical approach.

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