Surgical obliteration for vein of galen malformation: A case report
| Autor: | Gary K. Steinberg, John L. Moriarity |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Intracranial Arteriovenous Malformations
Reoperation Cerebral veins Microsurgery medicine.medical_specialty Population Aneurysm medicine Humans cardiovascular diseases Vein education Heart Failure education.field_of_study medicine.diagnostic_test business.industry Vascular malformation Infant Newborn Angiography Digital Subtraction Infant medicine.disease Cerebral Veins Surgery Hydrocephalus medicine.anatomical_structure Angiography cardiovascular system Female Neurology (clinical) business Cerebral angiography |
| Zdroj: | Surgical Neurology. 44:365-370 |
| ISSN: | 0090-3019 |
| DOI: | 10.1016/0090-3019(95)00183-2 |
| Popis: | BACKGROUND Vein of Galen aneurysm is a relatively rare vascular malformation, often resulting in high morbidity or mortality. Outcome is particularly poor in the neonatal population. METHODS We report staged surgical treatment of a vein of Galen aneurysm in a neonate who presented in congestive heart failure. RESULTS Cerebral angiography 6 months following staged surgical treatment revealed complete obliteration of the aneurysm. The patient tolerated surgery well, and at 6 years of age is free of neurologic or cardiovascular impairment. CONCLUSIONS While the endovascular approach is the procedure of first choice, aggressive medical management followed by staged surgical clipping of aneurysm feeders produced excellent results in this case of neonatal vein of Galen aneurysm. Staged surgical obliteration of arterial feeders should be considered as a therapy when endovascular methods are unsuccessful in safely curing these difficult vascular lesions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect