Aly Ashraf M, Garcia Clarisa Y, von Ritschl Rudiger
Division of Pediatric Cardiology, Children's Hospital, Galveston, Texas.
AJP Rep. 2012 Nov;2(1):19-22. doi: 10.1055/s-0031-1300966. Epub 2012 Jan 30.
We report a case of a premature infant with a vein of Galen malformation (VGM) who presented with high-output heart failure, pulmonary hypertension, and respiratory distress. An echocardiogram showed normal cardiac anatomy, patent ductus arteriosus, and retrograde flow in the descending aorta. Ultrasonography and computed tomography of head confirmed the diagnosis of a large VGM. The patient developed multiorgan failure. Endovascular embolization of the VGM was successfully performed with an excellent outcome.