Abstract
Congestive heart failure is the usual complaint and cause of death in neonates with aneurysms of the great vein of Galen. Direct surgical obliteration of the feeding arteries cures the heart failure, but few such newborns survive the operation. The authors report a case of primary aneurysm of the great vein of Galen treated successfully by clipping the afferent arteries and reduction of the bulk of the aneurysm by bipolar coagulation. Five months after the operation the child's development is normal.
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References
Amacher AL, Shillito J Jr (1973) The syndromes and surgical treatment of aneurysms of the great vein of Galen. J Neurosurg 39:89–98
Bartal AD, Schiffer JM, Goodwin DR (1974) Excision of arteriovenous malformation of the vein of Galen complicated by congestive heart failure. Neurochirurgia (Stuttg) 17:16–23
Copty M, Bédart F, Turcotte JF (1980) Successful removal of an entire calcified aneurysm of the vein of Galen. Surg Neurol 14:396–400
Garcia J, Salazar J, Felipe J, Minguez MD, Romero C, Plaza L (1980) Fistule artério veineuse cérébrale et défaillance cardiaque neonatale. A propos de deux cas. Pediatrie 35:63–69
Gold AP, Ransohoff JR, Carter S (1964) Vein of Galen malformation. Acta Neurol Scand 40 [Suppl 11]:5–31
Gomez MR, Whitten CF, Nolke A, Berstein 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
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
Jaeger JR, Forbes RP, Dandy WE (1937) Bilateral congenital cerebral arteriovenous communication aneurysm. Trans Am Neurol Assoc 63:173–176
Lazar ML (1974) Vein of Galen aneurysm: successful excision of a completely thrombosed aneurysm in an infant. Surg Neurol 2:22–24
Menezes AH, Graf CJ, Jacoby CG, Cornell SH (1981) Management of vein of Galen aneurysms. Report of two cases. J Neurosurg 55:457–462
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
Yaşargil MG, Antic J, Laciga R, Jain KK, Boone SC (1976) Arteriovenous malformations of vein of Galen: microsurgical treatment. Surg Neurol 6:195–200
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Eiras, J., Carcavilla, L.I., Gomez, J. et al. Surgical treatment of an aneurysm of the vein of Galen in a newborn with heart failure. Child's Nerv Syst 1, 126–129 (1985). https://doi.org/10.1007/BF00706694
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DOI: https://doi.org/10.1007/BF00706694