Am J Perinatol 2008; 25(4): 225-227
DOI: 10.1055/s-2008-1066877
© Thieme Medical Publishers

Prenatal Diagnosis of Vein of Galen Malformation: A Multidisciplinary Challenge

Mika Nuutila1 , Terhi Saisto1
  • 1Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Helsinki, Finland
Further Information

Publication History

Publication Date:
14 March 2008 (online)

ABSTRACT

Vein of Galen aneurysmal malformation (VGAM) is a rare congenital arteriovenous malformation of the choroid plexus situated within the roof of the third ventricle. If large, it leads to an extracardiac left-to-right shunt featuring as a high output heart failure in the neonate. In our case of VGAM, hypoxic-ischemic brain lesions due to the steal phenomenon could be demonstrated prenatally. In a multidisciplinary clinical setting, withdrawal of active care and initiation of good end-of-life care was decided on and carried through.

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Mika Nuutila

Helsinki University Central Hospital, Department of Obstetrics and Gynecology

PO Box 140, FIN- 00029 HUS, Finland

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