TY - JOUR ID - 12413 TI - Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn JO - Iranian Journal of Neonatology JA - IJN LA - en SN - 2251-7510 AU - Saeidi, Reza AU - Mohammadzadeh, Ashraf AU - Shahfarhat, Ahmad AU - Birjandi, Hassan AD - Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran AD - Department of Pediatric and Congenital Cardiology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Y1 - 2019 PY - 2019 VL - 10 IS - 1 SP - 86 EP - 88 KW - heart failure KW - neonate KW - vein of Galen aneurysm DO - 10.22038/ijn.2019.36311.1559 N2 - 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. UR - https://ijn.mums.ac.ir/article_12413.html L1 - https://ijn.mums.ac.ir/article_12413_fc8c35699b890353ae6c3b4337964cc3.pdf ER -