Management of Vein of Galen Aneurysmal Malformation in a Neonate: A Tightrope Walk
The vein of Galen aneurysmal malformation (VGAM) is a rare congenital intracranial high-flow arterio-venous shunt that can cause high-output cardiac failure in the neonate. Embolization of the VGAM by interventional neuroradiology is the procedure of choice. Treatment decisions should be individuali...
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| Veröffentlicht in: | Journal of pediatric neurosciences 2024-01, Vol.19 (1), p.22-24 |
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| container_title | Journal of pediatric neurosciences |
| container_volume | 19 |
| creator | Narayan, Vinitha Luthra, Ankur Narayanan, Vidhya Chauhan, Rajeev Abdulmajed, Mohamed Yaser Arafath Mohaideenbawa |
| description | The vein of Galen aneurysmal malformation (VGAM) is a rare congenital intracranial high-flow arterio-venous shunt that can cause high-output cardiac failure in the neonate. Embolization of the VGAM by interventional neuroradiology is the procedure of choice. Treatment decisions should be individualized and based on a scoring system like the Bicetre score. We report our experience of the anesthetic management of a neonate with high-output cardiac failure who underwent transarterial embolization. We highlight the risk of acute pulmonary edema during the procedure and stress the importance of strict fluid and hemodynamic management. |
| doi_str_mv | 10.4103/jpn.jpn_54_23 |
| format | Article |
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| ispartof | Journal of pediatric neurosciences, 2024-01, Vol.19 (1), p.22-24 |
| issn | 1817-1745 1998-3948 |
| language | eng |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Genetic disorders Infants (Newborn) Pediatric anesthesia |
| title | Management of Vein of Galen Aneurysmal Malformation in a Neonate: A Tightrope Walk |
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