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以新生儿持续性肺动脉高压为表现的大脑大静脉动脉瘤样畸形：一例报告

Vein of Galen Aneurysmal Malformation Presenting As Persistent Pulmonary Hypertension in a Newborn: A Case Report.

作者信息

Amendolia Barbara, Bhat Vishwanath, Poletto Erica, Jaspreet Amar, Robinson Bradley

机构信息

Neonatal Intensive Care Medicine, Stockton University, Galloway, USA.

Neonatal Intensive Care Medicine, Cooper University Hospital, Camden, USA.

出版信息

Cureus. 2024 Aug 19;16(8):e67191. doi: 10.7759/cureus.67191. eCollection 2024 Aug.

DOI:10.7759/cureus.67191
PMID:39295698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11409830/
Abstract

We present a case of a newborn infant with a vein of Galen aneurysmal malformation (VOGM) who was admitted to our neonatal intensive care unit (NICU) with the diagnosis of persistent pulmonary hypertension of the newborn (PPHN). Further work-up at our institution, which included an echocardiogram and cranial ultrasound revealed VOGM. The patient was transferred to a children's center for further management of the vascular malformation where the patient subsequently died from high cardiac output heart failure. This study highlights the importance of considering a VOGM as a rare cause of PPHN in an infant.

摘要

我们报告了一例患有大脑大静脉动脉瘤样畸形（VOGM）的新生儿病例，该患儿因新生儿持续性肺动脉高压（PPHN）诊断入住我们的新生儿重症监护病房（NICU）。在我们机构进行的进一步检查，包括超声心动图和头颅超声，显示为VOGM。该患者被转至一家儿童中心，以便对血管畸形进行进一步治疗，随后患者因高心输出量心力衰竭死亡。本研究强调了将VOGM视为婴儿PPHN罕见病因的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b65/11409830/cf9c452d36ae/cureus-0016-00000067191-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b65/11409830/74beb2fc9693/cureus-0016-00000067191-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b65/11409830/93adddbdd835/cureus-0016-00000067191-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b65/11409830/cf9c452d36ae/cureus-0016-00000067191-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b65/11409830/74beb2fc9693/cureus-0016-00000067191-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b65/11409830/93adddbdd835/cureus-0016-00000067191-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b65/11409830/cf9c452d36ae/cureus-0016-00000067191-i03.jpg

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Pulmonary hypertension associated with vein of Galen malformation. Fetal cardiac hemodynamic findings and physiological considerations.与静脉畸形瘤相关的肺动脉高压。胎儿心脏血液动力学表现及生理学考虑。
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Vein of Galen Aneurysmal Malformation.大脑大静脉动脉瘤样畸形
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Persistent pulmonary hypertension of the newborn presenting as the primary manifestation of intracranial arteriovenous malformation of the Vein of Galen.新生儿持续性肺动脉高压表现为大脑大静脉颅内动静脉畸形的主要表现。
Am J Perinatol. 2000;17(8):405-10. doi: 10.1055/s-2000-13456.