Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn | ||
| Iranian Journal of Neonatology | ||
| مقاله 14، دوره 10، شماره 1، خرداد 2019، صفحه 86-88 اصل مقاله (266.15 K) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.22038/ijn.2019.36311.1559 | ||
| نویسندگان | ||
| Reza Saeidi* 1؛ Ashraf Mohammadzadeh1؛ Ahmad Shahfarhat1؛ Hassan Birjandi2 | ||
| 1Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 2Department of Pediatric and Congenital Cardiology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| 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. | ||
| کلیدواژهها | ||
| Heart failure؛ Neonate؛ Vein of Galen aneurysm | ||
| مراجع | ||
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