Congenital cardiac anomalies with vein of Galen malformations in infants

McElhinney, Doff B.; Vv, Halbach; Silverman, Norman H.; Dowd, Christopher F.; Hanley, Frank L.

doi:10.1136/adc.78.6.548

Cited by 62 publications

(59 citation statements)

References 12 publications

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“…Mc Elhinney ve ark. (16) , kısmi pulmoner venöz dönüş anomalisi, ventriküler septal defekt ve atrioventriküler kanal defekti gibi anomalilerin de sık olduğunu bildirmiştir. Hastalarımızda saptanan yapısal kardiyak bozukluklar, ventriküler septal defekt, patent duktus arteriozus, patent foramen ovale, atrial situs solitus, sol arkus aorta idi.…”

Section: Discussionunclassified

Radiological and Clinical Features of Vein of Galen Aneurysmal Malformation In Newborn, Endovascular Interventional Treatment Management: 10 Years Experience

Tüfekçi¹,

Çoban²,

Yasa³

et al. 2016

Cocuk Dergisi

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Amaç: Galen veni anevrizmal malformasyonu (GVAM) tanısı ile 2005-2015 yılları arasında izlenen yenidoğanla-rın klinik özellikleri, tanı, tedavi yaklaşımı ve sonuçlarını değerlendirmek. Gereç ve Yöntem: GVAM tanısı alan 8 hastanın klinik başvuru, izlem, tanı ve tedavi yaklaşımı retrospektif ola Material and Method: Eight newborn patients with diagnosis of VGAM were assessed retrospectively in terms of clinical admission symptoms, diagnosis, treatment strategies and follow-up based on the information retrieved from patient files. Three of four patients who survived had neurological assessment while the information about the rema- GiRişGalen veni anevrizmal malformasyonu (GVAM), tüm damarsal malformasyonların yaklaşık % 1'ini ve çocuklardaki vasküler malformasyonların %30'unu

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Section: Discussionunclassified

Radiological and Clinical Features of Vein of Galen Aneurysmal Malformation In Newborn, Endovascular Interventional Treatment Management: 10 Years Experience

Tüfekçi¹,

Çoban²,

Yasa³

et al. 2016

Cocuk Dergisi

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“…The heart failure is due to the size of the arteriovenous shunt that can steal 80% or more of the cardiac output, with large volumes of blood under high pressure returning to the right heart and pulmonary circulation and sinus venosus atrialseptal defects [3] [4]. It is the most common cause of death in such patients [9].…”

Section: Discussionmentioning

confidence: 99%

“…There is usually a venous anomaly downstream from the draining vein that, together with the high blood flow into the great cerebral vein of Galen causes its dilation [3]. The right side cardiac chambers and pulmonary arteries also develop mild to severe dilation [4]. Mortality rate is about 80% to 100% of cases and open surgery offers little improvement [5].…”

Section: Introductionmentioning

confidence: 99%

Vein of Galen Malformations: Case Report & Review

Goyal¹,

Goyal²,

Saini³

et al. 2015

OALib

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Vein of Galen aneurysmal malformations (VGAMs) are rare congenital abnormalities that can cause severe morbidity and mortality. VGAMs present in different way from vein of Galen aneurysmal dilatations (VGADs). The VGAMS have a parenchymal arteriovenous malformation that drains through the vein of Galen whereas VGADs may present with intracranial hemorrhage. In neonates VGAMs result in high-output cardiac failure. Surgery offers little improvement, with fatal outcomes in 80% to 100% of cases.

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“…In some cases, VGAM patients have been noted to show signs of coarctation in the aorta, either being associated with it [6][7][8] or mimicking the disease (pseudocoarctation) [9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Vein of Galen arteriovenous malformation mimicking coarctation of the aorta

2014

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Arteriovenous malformation of the vein of Galen is a rare congenital intracranial anomaly lacking a capillary bed and subsequent aneurysmal enlargement of the arterial and venous system, warranting careful management due to associated morbidity and mortality. Coarctations of aorta demonstrate similar neonatal echocardiographic signs to the vein of Galen arterial malformation (VGAM). We present a boy at 37 weeks of gestation whose initial ultrasound and echocardiographic investigations showed a dominant right ventricle and isthmal hypoplasia, suggestive of coarctation of aorta. Followup ultrasound and echocardiography revealed an arteriovenous malformation involving middle and posterior cerebral artery branches, eliminating coarctation of aorta. VGAM was confirmed by further ultrasound and angiographic investigation, which demonstrated a tangle of cerebral and choroidal arterial branches centrally feeding into an enlarged vein of Galen. The boy's hemodynamic and neurological statuses were confirmed to be stable despite increased venous pressure. Elective embolization at 7 months of age was complicated by a cerebrovascular accident, resulting in right hemiparesis despite no residual cardiac issues. This case demonstrates that rarely, arteriovenous malformations such as the vein of Galen malformations may be the primary cause of patients presenting with coarctation of aorta. The rarity of this condition and its guarded prognosis make our case of special interest to cardiologists and the perinatal care team.Keywords Vein of Galen Á Cerebral arteriovenous malformation Á Coarctation of aorta Á Isthmal hypoplasia Riassunto Le malformazioni artero-venose della vena di Galeno sono rare anomalie intracraniche congenite caratterizzate da assenza del letto capillare e successiva dilatazione aneurismatica dei sistemi arterioso e venoso, che richiedono un'attenta gestione, per le associate morbilità e mortalità. La coartazioni dell'aorta presenta segni ecocardiografici neonatali simili alla malformazione artero-venosa della vena di Galeno (VGAM). Presentiamo il caso di un ragazzo che, alla 37 settimana di gestazione, mostrava all'esame ecocardiografico un ventricolo destro dominante e un'ipoplasia dell'istmo, suggestivi per coartazione dell'aorta. Il follow-up ecografico ed ecocardiografico hanno rivelato una malformazione artero-venosa che coinvolgeva rami delle arterie cerebrale media e posteriore, eliminando l'ipotesi di coartazione dell'aorta. La diagnosi di VGAM è stata confermata da ulteriori indagini ecografiche e angiografiche, che hanno dimostrato un groviglio di rami arteriosi cerebrali e dei plessi corioidei alimentato da Ultrasound (2014) 17:297-301 DOI 10.1007 una vena di Galeno ingrandita. I parametri emodinamici e neurologici del ragazzo erano stabili nonostante l'aumento della pressione venosa. A 7 mesi di età l'embolizzazione elettiva è stata complicato da un incidente cerebrovascolare, con conseguente emiparesi destra, nonostante non vi siano state complicanza cardiache. Questo caso dimostra che r...

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Congenital cardiac anomalies with vein of Galen malformations in infants

Cited by 62 publications

References 12 publications

Radiological and Clinical Features of Vein of Galen Aneurysmal Malformation In Newborn, Endovascular Interventional Treatment Management: 10 Years Experience

Radiological and Clinical Features of Vein of Galen Aneurysmal Malformation In Newborn, Endovascular Interventional Treatment Management: 10 Years Experience

Vein of Galen Malformations: Case Report & Review

Vein of Galen arteriovenous malformation mimicking coarctation of the aorta

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