Skip to main content

Advertisement

Log in

Arteriovenous malformation of the great vein of Galen associated with patent ductus arteriosus

Report of three cases and review of the literature

  • Original Papers
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

The arteriovenous malformation of the vein of Galen (AVG), composed of a fistula between medium to large arteries and the vein of Galen, is frequently fetal in the neonatal period. We now report three cases of infants with AVG and associated patent ductus arteriosus (PDA), and review the literature for these associated findings. The presence of a PDA can result in severe vascular derangement in the postoperative period, and further complicate management of these infants. Analysis of this abnormal central circulation may contribute to a better understanding and therefore outcome for this unfortunate group of patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Abrams HL (1958) Persistance of fetal ductus function after birth: the ductus arteriosus as an avenue of escape. Circulation 18:206–226

    Google Scholar 

  2. Amacher AL, Shillito J (1973) The syndromes and surgical treatment of aneurysms of the great vein of Galen. J Neurosurg 39:89–98

    Google Scholar 

  3. Ehat R, Fisher E, Raju T, Vidyasagar D (1982) Patent ductus arteriosus: recent advances in diagnosis and management. Pediatr Clin North Am 29:1117–1137

    Google Scholar 

  4. Carroll L, Jakoby RK (1966) Neonatal congestive heart failure as the presenting symptom of cerebral arteriovenous malformation. J Neurosurg 25:159–163

    Google Scholar 

  5. Claireaux AE, Neuman C (1960) Arteriovenous aneurysm of the great vein of Galen with heart failure in the neonatal period. Arch Dis Child 35:605–612

    Google Scholar 

  6. Cumming GR (1980) Circulation in neonates with intracranial arteriovenous fistula and cardiac failure. Am J Cardiol 45:1019–1024

    Google Scholar 

  7. Gagnon J, Boileau G (1960) Anatomical study of an arteriovenous malformation drained by the system of Galen. Neurosurgery 17:75–80

    Google Scholar 

  8. Glatt BS, Rowe RD (1960) Cerebral arteriovenous fistula associated with congestive heart failure in the newborn: report of two cases. Pediatrics 26:596–603

    Google Scholar 

  9. Gold AP, Ransohoff J, Carter S (1964) Vein of Galen malformation. Acta Neurol Scand 40:1–31

    Google Scholar 

  10. Gomez MR, Whitten LF, Nolke A, Bernstein J, Meyer JS (1963) Aneurysmal malformation of the great vein of Galen causing heart failure in early infancy: report of five cases. Pediatrics 31:400–411

    Google Scholar 

  11. Heath D, Swan H, DuShane JW, Edwards JE (1958) The relation of medial thickness of small muscular pulmonary arteries to immediate postnatal survival in patients with ventricular septal defect or patent ductus arteriosus. Thorax 13:267–271

    Google Scholar 

  12. Hirano A, Solomon S (1960) Arteriovenous aneurysm of the vein of Galen. Arch Neurol 5:589–593

    Google Scholar 

  13. Hoffman HJ, Chuang S, Hendrick EB, Humphreys RP (1982) Aneurysms of the vein of Galen: experience at the Hospital for Sick Children, Toronto. J Neurosurg 57:316–322

    Google Scholar 

  14. Hope R, Izukawa T (1973) Congestive cardiac failure and intracranial arteriovenous communications in infants and children. Aust NZ J Med 3:598–605

    Google Scholar 

  15. Iannucci AM, Buonanno F, Rizzuro N, Mazza C, Vivenza C, Maschio A (1979) Arteriovenous aneurysm of the vein of Galen: a clinical, angiographic, CT scan and neuropathological study. J Neurol Sci 40:29–37

    Google Scholar 

  16. Jager BV, Wollenman OJ (1942) An anatomical study of the closure of the ductus arteriosus. Am J Pathol 18:595–613

    Google Scholar 

  17. Kitterman JA (1980) Patent ductus arteriosus: current clinical status. Arch Dis Child 55:106–109

    Google Scholar 

  18. Koshs JB, Moghadam AN (1970) Patent ductus arteriosus in early infancy. Cardiovasc Clin 2:231–255

    Google Scholar 

  19. Lillquist K, Haase J, Thayssen P (1979) Operative treatment of cerebral arteriovenous aneurysm of vein of Galen complicated by congestive heart failure. Br Heart J 42:738–741

    Google Scholar 

  20. Litrak J, Yahr M, Ransohoff J (1960) Aneurysms of the great vein of Galen and midline cerebral arteriovenous anomalies. J Neurosurg 17:945–954

    Google Scholar 

  21. Lue H, Chen C, Chen C, Wei H (1971) Congestive heart failure due to left-to-right shunts. Jpn Heart J 12:138–153

    Google Scholar 

  22. Lunliffe PN (1974) Cerebral arteriovenous aneurysm presenting with heart failure: report of three cases. Br Heart J 36:919–923

    Google Scholar 

  23. Mickle JP, Quisling RG (1986) The transtorcular embolization of vein of Galen aneurysms. J Neurosurg 64:731–735

    Google Scholar 

  24. Norman MG, Becker LE (1974) Cerebral damage in neonates resulting from arteriovenous malformation of the vein of Galen. J Neurol Neurosurg Psychiatry 37:252–258

    Google Scholar 

  25. Perlman JM, McMenamm JB, Volpe JJ (1983) Fluctuating cerebral blood flow velocity in respiratory distress syndrome: relation to the development of intraventricular hemorrhage. N Engl J Med 309:204–209

    Google Scholar 

  26. Reif RM (1980) Aneurysm of the vein of Galen combined with coarctation of the aorta in a newborn. Isr J Med Sci 16:785–788

    Google Scholar 

  27. Rudolph AM (1970) The changes in circulation after birth: their importance in congenital heart disease. Circulation 41:343–359

    Google Scholar 

  28. Sivakoff M, Noun S (1982) Diagnosis of vein of Galen malformation by two-dimensional ultrasound and pulsed Doppler method. Pediatrics 69:84–86

    Google Scholar 

  29. Snider AR, Soifer SJ, Silverman NH (1981) Detection of intracranial arteriovenous fistula by two-dimensional ultrasonography. Circulation 63:1179–1185

    Google Scholar 

  30. Stehbens WE, Sahgal KK, Nelson L, Shaher RM (1973) Aneurysm of the vein of Galen and diffuse meningeal angiectasia. Arch Pathol 95:333–335

    Google Scholar 

  31. Stern L, Ramos AD, Wiglesworth FW (1968) Congestive heart failure secondary to cerebral arteriovenous aneurysm in the newborn infant. Am J Dis Child 115:581–587

    Google Scholar 

  32. Talner NS (1971) Congestive heart failure in the infant: a functional approach. Pediatr Clin North Am 18:1011–1028

    Google Scholar 

  33. Walker WJ, Mullins LE, Knovick GC (1964) Cyanosis, cardiomegaly, and weak pulses: a manifestation of massive congenital systemic arteriovenous fistula. Circulation 29:777–781

    Google Scholar 

  34. Watson DG, Smith R, Brann AW (1976) Arteriovenous malformation of vein of Galen: treatment in a neonate. Am J Dis Child 130:520–525

    Google Scholar 

  35. Yasargil MG, Antic J, Laciga R, Jane KK, Boone SC (1976) Arteriovenous malformations of vein of Galen: microsurgical treatment. Surg Neurol 6:195–200

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Crawford, J.M., Rossitch, E., Oakes, W.J. et al. Arteriovenous malformation of the great vein of Galen associated with patent ductus arteriosus. Child's Nerv Syst 6, 18–22 (1990). https://doi.org/10.1007/BF00262260

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00262260

Key words

Navigation