Neonate With Severe Heart Failure Related to Vein of Galen Malformation

Meng-Yu Chen; Hon-Man Liu; Wen-Chin Weng; Shinn-Forng Peng; En-Ting Wu; Shuenn-Nan Chiu

doi:10.1016/S1875-9572(10)60047-2

Pediatrics and Neonatology (Aug 2010)

Neonate With Severe Heart Failure Related to Vein of Galen Malformation

Meng-Yu Chen,
Hon-Man Liu,
Wen-Chin Weng,
Shinn-Forng Peng,
En-Ting Wu,
Shuenn-Nan Chiu

Affiliations

Meng-Yu Chen: Department of Pediatrics, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei, Taiwan
Hon-Man Liu: Department of Medical Imaging, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei, Taiwan
Wen-Chin Weng: Department of Pediatrics, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei, Taiwan
Shinn-Forng Peng: Department of Medical Imaging, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei, Taiwan
En-Ting Wu: Department of Pediatrics, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei, Taiwan
Shuenn-Nan Chiu: Department of Pediatrics, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei, Taiwan

DOI: https://doi.org/10.1016/S1875-9572(10)60047-2
Journal volume & issue: Vol. 51, no. 4
pp. 245 – 248

Abstract

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We report a full-term female neonate who presented with respiratory distress and severe heart failure soon after birth. Heart failure secondary to perinatal infection was initially suspected. Subsequent echocardiography revealed aortic runoff, which led to consideration of an intracranial vascular abnormality. Ultrasound and magnetic resonance imaging of the brain confirmed a diagnosis of vein of Galen aneurismal malformation (VGAM). Endovascular coil embolization of the vascular anomaly was performed, resulting in improvement of heart failure. VGAM should be considered in the differential diagnosis of neonatal congestive heart failure with a structurally normal heart. Urgent endovascular embolization and aggressive medical treatment of heart failure improve prognosis in neonatal VGAM.

Published in Pediatrics and Neonatology

ISSN: 1875-9572 (Print)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Pediatrics
Website: https://www.journals.elsevier.com/pediatrics-and-neonatology/

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