Vein of Galen Aneurysmal Malformations (VGAM) are complex arteriovenous malformations of the pediatric age group characterized by shunting of blood from the arterial to the vnous system resulting in high-output cardiac failure, hydrocephalus, PHTN and irreversible neurological damage if not detected and treated promptly. Here, we report the case of a true choroidal type VGAM detected antenatally that was complicated by disseminated intravascular coagulation. We will be discussing the diagnostic approach, the in-hospital course and the treatment modalities implied to manage the associated complications along with the treatment plan tailored for our patient.
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