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김명신 ( Myung Sin Kim ),양혜진 ( Hye Jin Yang ),임형수 ( Hyung Soo Lim ),조정연 ( Jeong Yeon Cho ),전종관 ( Jong Kwan Jun ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.3
The vein of Galen aneurysm is a rare vascular malformation but it can be detected by using conventional ultrasonography and diagnosed by using power Doppler ultrasonography. The prognosis of the vein of Galen aneurysm depends on congestive heart failure caused by cerebral shunt. Embolization at proper times can provide good outcome. We report a case of spontaneous delivery at 41 weeks of gestation by a 35-year-old woman presenting with a fetal vein of Galen aneurysm is described. The vein of Galen aneurysm was prenatally diagnosed by power Doppler ultrasonography and treated postnatally by embolization. This case is a report of successful prenatal diagnosis and postnatal management of the vein of Galen aneurysm.
Vein of Galen Aneurysmal Malformation : Endovascular Management of 6 Cases in a Single Institute
Moon, Jung-Hyeon,Cho, Won-Sang,Kang, Hyun-Seung,Kim, Jeong-Eun,Lee, Seung-Jin,Han, Moon-Hee The Korean Neurosurgical Society 2011 Journal of Korean neurosurgical society Vol.50 No.3
Objective : The aim of this study was to analyze the treatment outcome of patients with vein of Galen aneurysmal malformations (VGM). Methods : Clinical and angiographic data of six consecutive patients with VGM were retrospectively reviewed. VGMs were angiographically classified by Yasargil's method. Treatment outcomes were evaluated. Results : Mean age at initial treatment was $4.4{\pm}5.7$ months. Angiographic types of VGMs were type II in two patients and type III in four. Three patients had cardiac symptoms and the others were asymptomatic. Two patients were treated with transvenous embolization, three with transarterial embolization, and one was managed conservatively. Two patients died due to venous hypertension few days after transvenous approach. Of three patients who were transarterially embolized, one was completely occluded with Onyx and two were incompletely occluded. During the follow-up period (range, one to six years) two of three patients treated with transarterial approach were asymptomatic and the other showed mild symptoms. One patient who was managed conservatively showed normal performance. Conclusion : Transarterial embolization of VGMs may be better than transvenous approach in terms of the treatment outcome and complication. Further studies are needed because of the rarity of the disease and rapid advancement of endovascular techniques.
신생아에 심한 심부전증을 일으킨 선천성 뇌동정맥 기형: 풍선 색전 요법을 시도한 1례
박인숙,김영휘,홍창의,조영국,서대철,박영일 울산대학교 의과대학 1993 울산의대학술지 Vol.2 No.2
Cerebral arteriovenous malformation is a rare cause of congestive heart failure in neonates and is known to carry a very poor prognosis even wish prompt recognition and aggressive treatment. We recently encountered a 2-day-old male neonate with huge cerebral arteriovenous malformation who presented with intractable heart failure. Despite aggressive medical treatment and partial embolization with detachable balloon, baby died of severe hearts failure. Since there is no report of percutaneous balloon embolization in a neonate with this lesion in Korean literature, we wish to present our experience in one such neonate. Also we believe this is the first report of color Doppler findings in cerebral arteriovenous malformation in Korean literature.