Poor outcome for neonates presenting with vein of Galen malformation

2020 ◽  
Vol 56 (1) ◽  
pp. 178-178
Keyword(s):  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Poor Outcome

scholarly journals Prenatal diagnosis and postnatal consequences of vein of Galen malformation (analysis of literature data and personal observations)

2020 ◽  
pp. 46-53
Author(s):  
O.M. Lukianova ◽  
◽  
G.F. Medvedenko ◽  
L.L. Maruschenko ◽  
O.V. Golovchenko ◽  
...  
Keyword(s):  
Heart Failure ◽  
Prenatal Diagnosis ◽  
Brain Damage ◽  
Diagnostic Value ◽  
Psychomotor Development ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Poor Outcome ◽  
Pulsed Wave Doppler ◽  
The Brain

Purpose — to assess ultrasound criteria and diagnostic value at vein of Galen malformation (VGAM) throughout perinatal period with possible further mortality rate and psychomotor development prognosis. Materials and methods. This was retrospective study involving 9 cases of VGAM diagnosed prenatally and managed at two institutions over a 5-year period (2014–2019). All cases had undergone detailed prenatal and perinatal cerebral, cardiac and fetoplacental unit assessment by grayscale ultrasound, color and pulsed–wave Doppler. In order to determine further treatment tactics neurosurgical consultation was involved into all confirmed VGAM cases. Results. Pregnancy and fetoneonatal outcome were known in all cases. Minor size supratentorial arachnoid cysts were detected in 6 VGAM cases. Vascular origin of formations was confirmed with Doppler scan. However, no signs of parenchymal abnormalities, liquor system of the brain damage and heart failure have been identified. All newborns were discharged with further outpatient follow-up. Vascular malformation with cardiomegaly correlation, tricuspid regurgitation, dilation of the right atrium and upper cava vein, severe brain abnormalities were considered by definition to be associated with poor outcome in 3 cases. Poor outcome was defined as death. Conclusions. VGAM diagnosis in newborns is highly determined by timely prenatal diagnosis and must involve postnatal neurosurgical assessment. Clarification of the diagnosis contributes to establishing the prognosis and inpatient care tactics. Color and pulsed+wave Doppler assessment is necessary for differential diagnosis with other midline cystic abnormalities of the brain. It is recommended to consider delivery within the perinatal clinic. Care must be provided by highly qualified perinatal team of obstetricians, neurosurgeons and neonatologists with an extensive experience in managing high risk pregnancies. Fetoneonatal outcome is poor due to congestive heart failure, severe brain damage and neurological impairment with tendency to worsen if diagnosed prenatally. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of these Institutes. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: vein of Galen aneurysmal malformation, fetus, newborn, diagnostic value, ultrasound, perinatal care, fetoneonatal outcome.

A cardiopulmonary bypass strategy to support a patient with vein of Galen malformation

Perfusion ◽  
2021 ◽  
pp. 026765912110015
Author(s):  
Alex Robertson ◽  
Nagarajan Muthialu ◽  
Mike Broadhead
Keyword(s):  
Cardiopulmonary Bypass ◽  
Surgical Repair ◽  
Circulatory Arrest ◽  
Ductus Arteriosus ◽  
Venous Drainage ◽  
Deep Hypothermic Circulatory Arrest ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Neurological Sequelae ◽  
Ph Stat

We present a dissection of the patent ductus arteriosus and pulmonary artery for surgical repair utilising cardiopulmonary bypass in the setting of vein of Galen malformation. Several strategies were employed to attenuate the cerebral shunt including pH-stat, high cardiac index, restrictive venous drainage, continuous ventilation and deep hypothermic circulatory arrest. The patient recovered from surgery with no apparent neurological sequelae.

Successful Surgical and Anesthetic Management of Vein of Galen Aneurysm in a Neonate in Congestive Heart Failure

Neurosurgery ◽  
1988 ◽  
Vol 22 (5) ◽  
pp. 908-910 ◽  
Author(s):  
Jane Matjasko ◽  
Walker Robinson ◽  
Daniel Eudaily
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Cardiac Failure ◽  
Growth And Development ◽  
Anesthetic Management ◽  
Vascular Supply ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Vein Of Galen Aneurysm

Abstract A 12-day-old infant in intractable cardiac failure due to a vein of Galen malformation was treated successfully with serial ligation of the majority of the vessels feeding the malformation. Despite some residual vascular supply to the malformation, the congestive heart failure has disappeared and growth and development have been normal over a 3-year follow-up period.

scholarly journals Uncommon second-trimester presentation of vein of Galen malformation

2018 ◽  
Vol 51 (3) ◽  
pp. 421-423 ◽  
Author(s):  
A. Yukhayev ◽  
N. Meirowitz ◽  
R. Madankumar ◽  
I. E. Timor-Tritsch ◽  
A. Monteagudo
Keyword(s):  
Vein Of Galen ◽  
Second Trimester ◽  
Vein Of Galen Malformation

Right superior caval vein to the left atrium in a child with vein of Galen malformation

2018 ◽  
Vol 35 (11) ◽  
pp. 1868-1871 ◽  
Author(s):  
Jay Relan ◽  
Saurabh K. Gupta ◽  
Anita Saxena
Keyword(s):  
Left Atrium ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Caval Vein ◽  
Superior Caval Vein

A case of the vein of Galen malformation

1986 ◽  
Vol 22 (2) ◽  
pp. 195
Author(s):  
T K Eun ◽  
S S Cha ◽  
S S Han ◽  
D H Chung
Keyword(s):  
Vein Of Galen ◽  
Vein Of Galen Malformation

Fistulous-type vein of Galen malformation phantom model for endovascular training and research

2016 ◽  
Vol 9 (9) ◽  
pp. 880-886
Author(s):  
Dan Meila ◽  
Katharina Melber ◽  
Dominik Grieb ◽  
Collin Jacobs ◽  
Heinrich Lanfermann ◽  
...  
Keyword(s):  
Treatment Options ◽  
Endovascular Embolization ◽  
High Flow ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Phantom Model ◽  
Before And After ◽  
And Training

IntroductionVein of Galen malformation (VGM), a high-flow intracranial arteriovenous shunt, is among the most severe neurovascular diseases in childhood. In many cases untreated children die or survive only severely disabled. Endovascular embolization is the preferred treatment.ObjectiveTo develop a simple fistulous-type VGM phantom model for teaching and training of different endovascular treatment methods and to investigate new treatment options and devices.MethodsAn experimental in vitro pulsatile phantom model was developed imitating a high-flow fistulous-type VGM, which is typical, especially in the neonatal phase. Pressure measurements at different arterial sites were performed before and after closure of the VGM. Closure of the VGM was achieved by coiling using a combined microcatheter-based transvenous and transarterial approach called ‘kissing microcatheter technique’.ResultsThe behaviour of the phantom model in vitro under fluoroscopy and under angiographic runs was extremely similar to that in in vivo conditions in children. The results showed that intra-arterial pressures changed and increased statistically significantly at all measurement sites after embolization, as in human arteriovenous malformation. We also demonstrated different and complementary visualizations of hemodynamics and angioarchitecture by antegrade and retrograde microcatheter injections.ConclusionsOur phantom model behaves like a typical fistulous-type VGM and can be used in vitro for teaching and training and for further research. It offers a new and better understanding of hemodynamics and angioarchitecture in the endovascular management of VGM.

Caroli Disease Associated With Vein of Galen Malformation in a Male Child

PEDIATRICS ◽  
2014 ◽  
Vol 134 (1) ◽  
pp. e284-e288 ◽  
Author(s):  
D. Grieb ◽  
A. Feldkamp ◽  
T. Lang ◽  
M. Melter ◽  
C. Stroszczynski ◽  
...  
Keyword(s):  
Male Child ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Caroli Disease

The persistent primitive marginal sinus—observations in children with Vein of Galen malformation

2012 ◽  
Vol 54 (12) ◽  
pp. 1375-1379 ◽  
Author(s):  
Dan Meila ◽  
Srinivasan Paramasivam ◽  
Yasunari Niimi ◽  
Friedhelm Brassel ◽  
Alejandro Berenstein
Keyword(s):  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Marginal Sinus
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