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AJP Rep 2012; 02(01): 019-022
DOI: 10.1055/s-0031-1300966
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Successful Embolization of a Large Vein of Galen Malformation in a Premature Infant Presenting with Congestive Heart Failure and Persistent Pulmonary Hypertension

Ashraf M. Aly
1   Division of Pediatric Cardiology, Children’s Hospital, Galveston, Texas
,
Clarisa Y. Garcia
2   Primary Children’s Medical Center, Salt Lake City, Utah
,
Rudiger von Ritschl
3   Division of Neuroradiology, Children’s Hospital, 301 University Boulevard, Galveston, Texas
› Author Affiliations
Further Information

Publication History

07 June 2011

06 October 2011

Publication Date:
30 January 2012 (online)

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Abstract

We report a case of a premature infant with a vein of Galen malformation (VGM) who presented with high-output heart failure, pulmonary hypertension, and respiratory distress. An echocardiogram showed normal cardiac anatomy, patent ductus arteriosus, and retrograde flow in the descending aorta. Ultrasonography and computed tomography of head confirmed the diagnosis of a large VGM. The patient developed multiorgan failure. Endovascular embolization of the VGM was successfully performed with an excellent outcome.

Keywords

vein of Galen malformation - high-output heart failure - endovascular embolization
 

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