Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn
Background: Vein of Galen aneurysm (VGA) is the most common form of symptomatic cerebrovascular malformation in neonates. It develops in a fetus in the first trimester of pregnancy due to unknown reasons, but it is likely to have a genetic etiology. The prognosis of VGA is usually poor, particularly...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2019-03-01
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| Series: | Iranian Journal of Neonatology |
| Subjects: | |
| Online Access: | http://ijn.mums.ac.ir/article_12413_fc8c35699b890353ae6c3b4337964cc3.pdf |
| _version_ | 1818589520814145536 |
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| author | Reza Saeidi Ashraf Mohammadzadeh Ahmad Shahfarhat Hassan Birjandi |
| author_facet | Reza Saeidi Ashraf Mohammadzadeh Ahmad Shahfarhat Hassan Birjandi |
| author_sort | Reza Saeidi |
| collection | DOAJ |
| description | Background: Vein of Galen aneurysm (VGA) is the most common form of symptomatic cerebrovascular malformation in neonates. It develops in a fetus in the first trimester of pregnancy due to unknown reasons, but it is likely to have a genetic etiology. The prognosis of VGA is usually poor, particularly in newborns with heart failure due to high-flow intracerebral shunt. Surgery and endovascular embolization are partially successful treatments for controlling congestive heart failure and pulmonary hypertension.
Case report: In this article, we present the case of a 3600-gram, full-term, female neonate hospitalized with respiratory distress and severe heart failure. The neonate was the second child of a 28-year-old mother. After echocardiography and brain sonography, she was diagnosed with the vein of Galen malformation. The case had severe and persistent congestive heart failure and refractory pulmonary hypertension.
Conclusion: It is important to perform the auscultation of fontanel in newborns and consider VGA as a differential diagnosis in the neonates with congestive heart failure. |
| first_indexed | 2024-12-16T09:41:58Z |
| format | Article |
| id | doaj.art-e85265577c944098ad9b1281668eabd1 |
| institution | Directory Open Access Journal |
| issn | 2251-7510 2322-2158 |
| language | English |
| last_indexed | 2024-12-16T09:41:58Z |
| publishDate | 2019-03-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neonatology |
| spelling | doaj.art-e85265577c944098ad9b1281668eabd12022-12-21T22:36:15ZengMashhad University of Medical SciencesIranian Journal of Neonatology2251-75102322-21582019-03-01101868810.22038/ijn.2019.36311.155912413Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a NewbornReza Saeidi0Ashraf Mohammadzadeh1Ahmad Shahfarhat2Hassan Birjandi3Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranNeonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranNeonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Pediatric and Congenital Cardiology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranBackground: Vein of Galen aneurysm (VGA) is the most common form of symptomatic cerebrovascular malformation in neonates. It develops in a fetus in the first trimester of pregnancy due to unknown reasons, but it is likely to have a genetic etiology. The prognosis of VGA is usually poor, particularly in newborns with heart failure due to high-flow intracerebral shunt. Surgery and endovascular embolization are partially successful treatments for controlling congestive heart failure and pulmonary hypertension. Case report: In this article, we present the case of a 3600-gram, full-term, female neonate hospitalized with respiratory distress and severe heart failure. The neonate was the second child of a 28-year-old mother. After echocardiography and brain sonography, she was diagnosed with the vein of Galen malformation. The case had severe and persistent congestive heart failure and refractory pulmonary hypertension. Conclusion: It is important to perform the auscultation of fontanel in newborns and consider VGA as a differential diagnosis in the neonates with congestive heart failure.http://ijn.mums.ac.ir/article_12413_fc8c35699b890353ae6c3b4337964cc3.pdfheart failureneonatevein of Galen aneurysm |
| spellingShingle | Reza Saeidi Ashraf Mohammadzadeh Ahmad Shahfarhat Hassan Birjandi Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn Iranian Journal of Neonatology heart failure neonate vein of Galen aneurysm |
| title | Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn |
| title_full | Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn |
| title_fullStr | Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn |
| title_full_unstemmed | Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn |
| title_short | Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn |
| title_sort | vein of galen aneurysmal malformation and high output cardiac failure in a newborn |
| topic | heart failure neonate vein of Galen aneurysm |
| url | http://ijn.mums.ac.ir/article_12413_fc8c35699b890353ae6c3b4337964cc3.pdf |
| work_keys_str_mv | AT rezasaeidi veinofgalenaneurysmalmalformationandhighoutputcardiacfailureinanewborn AT ashrafmohammadzadeh veinofgalenaneurysmalmalformationandhighoutputcardiacfailureinanewborn AT ahmadshahfarhat veinofgalenaneurysmalmalformationandhighoutputcardiacfailureinanewborn AT hassanbirjandi veinofgalenaneurysmalmalformationandhighoutputcardiacfailureinanewborn |