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Congestive heart failure in neonates due to intracranial arteriovenous malformation: Endovascular treatment

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Summary

Newborns with intracranial arteriovenous malformations and congestive heart failure have an extremely poor prognosis. This report describes two infants with intracranial arteriovenous malformations and severe congestive heart failure successfully treated in the newborn period with endovascular embolization. Both infants had immediate improvement in symptoms and both had second embolization procedures performed. Ventriculoperitoneal shunting was necessary in both children because of progressive hydrocephalus. At follow-up of more than 4 years, neither patient has any sign of congestive heart failure, and one is developmentally normal.

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References

  1. Albright AL, Latchaw RE, Price RA (1983) Posterior dural arteriovenous malformation in infancy.Neurosurgery 13:129–135

    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. Bhat AM, Meny RG, Ormond RS (1984) Sonography in cranial arteriovenous malformation presenting with cardiac failure.Clin Pediatr 23:248

    Google Scholar 

  4. Dowd CF, Halback VV, Barnwell SL, Higashida RT, Edwards MSB, Hieshima GB (1989) Transfemoral venous embolization of vein of Galen malformations.AJNR 11:643–648

    Google Scholar 

  5. Gersony WM (1983) Coarctation of the aorta. In: Adams FH, Emmanouilides GM (eds)Heart disease in infants, children and adolescents 1983. Williams and Wilkins, Baltimore, pp 188–199

    Google Scholar 

  6. Godersky JC, Menezes AH (1987) Intracranial arteriovenous anomalies of infancy: modern concepts.Pediatr Neurosci 13:242–250

    Google Scholar 

  7. Hoffman HJ, Chuang S, Hendrick EB, Humphreys RP (1982) Aneurysm of the vein of Galen.J Neurosurg 57:316–322

    Google Scholar 

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

    Google Scholar 

  9. Johnston IH, Whittle IR, Besser M, Morgan MK (1987) Vein of Galen malformation: diagnosis and management.Neurosurgery 20:747–758

    Google Scholar 

  10. Laws ER Jr (1982) Management of an aneurysm of the vein of Galen by insertion of phosphor-bronze wire. Presented at the 35th annual meeting of the Neurosurgical Society of America, Marco Island, FL, March 17–20

  11. Lylyk P, Vinuela F, Dion JE, Peacock W, Lufkin R, Bentson J (1988) Endovascular embolization of vein of Galen aneurysms. Use of transtorcular approach in seven cases Presented at the 26th annual meeting of the ASNR, Chicago, IL, May 15–20

  12. Mickle JP, Quisling R, Ryan P (1985) Transtorcular approach to vein of Galen aneurysms.Concept Pediatr Neurosurg 6:230–238

    Google Scholar 

  13. Neilsen G (1984) Arteriovenous malformations as a cause of congestive heart failure in the newborn and infant.Eur J Pediatr 142:298–300

    Google Scholar 

  14. Pellegrino PA, Milanesi O, Saia OS, Carollo C (1987) Congestive heart failure secondary to cerebral arterio-venous fistula.Child Nerv Syst 3:141–144

    Google Scholar 

  15. Quisling RG, Mickle JP (1988) Transtorcular wire coil embolization of vein of Galen aneurysms. Presented at the 26th annual meeting of the ASNR, Chicago IL, May 15–20.

  16. Stanbridge RDL, Westaby S, Smallhorn J, Taylor JFN (1983) Intracranial arteriovenous malformation with aneurysm of the vein of Galen as a cause of heart failure in infancy.Br Heart J 49:157–162

    Google Scholar 

  17. Stanger P, Heymann MA, Tarnoff H, Hoffman JIE, Rudolph AM (1974) Complications of cardiac catheterization of neonates, infants and children.Circulation 50:595–608

    Google Scholar 

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McConnell, M.E., Aronin, P. & Vitek, J.J. Congestive heart failure in neonates due to intracranial arteriovenous malformation: Endovascular treatment. Pediatr Cardiol 14, 102–106 (1993). https://doi.org/10.1007/BF00796988

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  • DOI: https://doi.org/10.1007/BF00796988

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