Outcome of Neonates with Vein of Galen Malformation Presenting with Severe Heart Failure: A Case Series

Rosa, Gabriella De; Carolis, Maria Pia De; Tempera, Alessia; Pedicelli, Alessandro; Rollo, Massimo; Morena, Tony Christian; Luca, Emanuele De; Luca, Danièle De; Conti, Giorgio; Piastra, Marco

doi:10.1055/s-0038-1666813

Cited by 26 publications

(23 citation statements)

References 14 publications

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“…A similar negative outcome was reported by another fetal report [ 25 ]. Another paper [ 26 ] reported on 12 neonates with aneurysm of the Galen vein, all with high output failure, treated by endovascular procedure, with success only in five patients, while the remaining seven patients died of refractory cardiac failure, multiorgan failure, and severe brain damage.…”

Section: Discussionmentioning

confidence: 99%

Dural Sinus Arteriovenous Malformation in the Fetus. Case Report and Discussion of the Literature

et al. 2021

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Sonographic findings of cerebral arteriovenous malformations in the fetus are uncommon and usually regard aneurysm of the Galen vein. Outcome of arteriovenous malformations is usually severe. We report a case of a fetus at 21 weeks’ gestation with a rarer arteriovenous malformation, referred to us for echocardiography on account of a suspicious cardiomegaly at obstetrical scan. Upon examination, we found cardiomegaly, together with an associated moderate tricuspid regurgitation, however, there were no clear features of tricuspid dysplasia. Considering an unusually dilated superior vena cava, we found via color Doppler imaging a systodiastolic flow at Color Doppler progressing. Subsequent MRI of the central nervous system determined the localization in the sinus dura mater. Due to an already evident hemodynamic impact, the parents opted for the termination of the pregnancy. Autopsy confirmed a voluminous arteriovenous malformation of the transverse sinus of the dura mater, severe cardiomegaly, mainly of the ventricles, and hypoplasia of the lungs.

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Section: Discussionmentioning

confidence: 99%

Dural Sinus Arteriovenous Malformation in the Fetus. Case Report and Discussion of the Literature

et al. 2021

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“…5 Therefore, embolization is the treatment of choice. 6 It should be attempted as soon as possible for neonates with VGAM presenting CHF and pulmonary hypertension, 7 and a BNE score between 8 and 12 out of 21 requires urgent therapy (►Table 1). 1 The transfemoral approach is commonly used for transarterial embolization; however, catheterization of the femoral artery can be difficult in neonates due to small vessels diameter.…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Vein of Galen Aneurysmal Malformation Allows Early Transumbilical Endovascular Treatment

Demartini

Koppe

Gatto

et al. 2020

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Neonates with vein of Galen aneurysmal malformation (VGAM) presenting with severe cardiac failure and pulmonary hypertension represent a challenge for endovascular therapy. When early treatment is required, the small femoral arteries in this population are usually difficult to cannulate. Alternatively, the umbilical vessels offer a natural pathway to reach the lesion. Therefore, prenatal diagnosis of VGAM allows for delivery planning, perinatal management, and embolization through umbilical approach, thus leading to better outcomes.

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“…El tratamiento ha aumentado la supervivencia, aunque aún se está intentando estimar el pronóstico neurológico de estos pacientes. 13 El pronóstico en la insuficiencia cardíaca secundaria a MAV cerebral durante el período neonatal es malo. En la serie de García-Mónaco et al, 14 revisaron el manejo de 30 niños con insuficiencia cardíaca por MAV cerebral y obtuvieron una mortalidad del 20 %.…”

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¿Coartación de aorta en el recién nacido? No siempre es lo que parece: a propósito de un caso

2020

Arch Argent Pediat

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Presentación de casos clínicos RESUMEN La coartación de aorta en neonatos se puede manifestar como insuficiencia cardíaca según el grado de obstrucción. Hay situaciones que pueden simular una coartación de aorta en los recién nacidos. Limitarse a la imagen típica de muesca aórtica en la ecocardiografía para diagnosticar una coartación de aorta puede inducir a error y demorar el diagnóstico adecuado. Se presenta el caso de un recién nacido con insuficiencia cardíaca con diagnóstico inicial de coartación de aorta y, posteriormente, de malformación arteriovenosa cerebral. Se debe considerar la malformación arteriovenosa en el diagnóstico diferencial de un recién nacido con insuficiencia cardíaca. Palabras clave: coartación aórtica, malformaciones arteriovenosas cerebrales, insuficiencia cardíaca.

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Outcome of Neonates with Vein of Galen Malformation Presenting with Severe Heart Failure: A Case Series

Cited by 26 publications

References 14 publications

Dural Sinus Arteriovenous Malformation in the Fetus. Case Report and Discussion of the Literature

Dural Sinus Arteriovenous Malformation in the Fetus. Case Report and Discussion of the Literature

Prenatal Diagnosis of Vein of Galen Aneurysmal Malformation Allows Early Transumbilical Endovascular Treatment

¿Coartación de aorta en el recién nacido? No siempre es lo que parece: a propósito de un caso

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