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Coarctation of the aorta and vein of Galen malformation – treatment considerations in a severely compromised patient

Published online by Cambridge University Press:  14 December 2012

Mathias Emmel ,
Gerardus Bennink ,
Dan Meila  and
Friedhelm Brassel
Mathias Emmel*
Affiliation:
Pediatric Cardiology, Heart Center, University Hospital of Cologne, Koeln, Germany
Gerardus Bennink
Affiliation:
Pediatric Cardiac Surgery, Heart Center, University Hospital of Cologne, Koeln, Germany
Dan Meila
Affiliation:
Radiology and Neuroradiology, Klinikum Duisburg Zu den Rehwiesen 9, Duisburg, Germany
Friedhelm Brassel
Affiliation:
Radiology and Neuroradiology, Klinikum Duisburg Zu den Rehwiesen 9, Duisburg, Germany
*
Correspondence to: Dr M. Emmel, MD, Pediatric Cardiology, Heart Center, University Hospital of Cologne, Kerpener Strasse 62, D-50924 Koeln (Cologne), Germany. Tel: +0049 221 478 32518; Fax: +0049 221 478 32515; E-mail: mathias.emmel@uk-koeln.de
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Abstract

A vein of Galen malformation – a rare cause of cardiac insufficiency in neonates – is sometimes associated with coarctation of the aorta, two diseases requiring urgent therapy in the neonatal period. We report on a term neonate in whom we first palliated the coarctation by stent implantation, providing time to treat the vein of Galen malformation by endovascular embolisation. Following this, the coarctation was surgically repaired and the stent was explanted.

Keywords

Coarctation stentintracranial arteriovenous malformationembolisation therapy
Type
Brief Report
Information
Cardiology in the Young , Volume 22 , Issue 5 , 13 September 2012 , pp. 596 - 599
Copyright
Copyright © Cambridge University Press 2012

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References

1.Schievink, WI, Mokri, B, Piepgras, DG, Gittenberger-de Groot, AC. Intracranial aneurysms and cervicocephalic arterial dissections associated with congenital heart disease. Neurosurgery 1996; 39: 685–689.CrossRefGoogle ScholarPubMed
2.McElhinney, DB, Halbach, VV, Silverman, NH, Dowd, CF, Hanley, FL. Congenital cardiac anomalies with vein of Galen malformations in infants. Arch Dis Child 1998; 78: 548–551.CrossRefGoogle ScholarPubMed
3.Tomlinson, FH, Piepgras, DG, Nichols, DA, Rüfenacht, DA, Kaste, SC. Remote congenital cerebral arteriovenous fistulae associated with aortic coarctation. J Neurosurg 1992; 76: 137–142.CrossRefGoogle ScholarPubMed
4.Srinivas, L, Changela, V, Francis, E, Kumar, RK. Vein of Galen arteriovenous malformation: diagnostic clues from echocardiographie. Indian Heart J 2008; 60: 349–351.Google Scholar
5.Harahsheh, AS, Kulkarni, A, Becker, C, Ross, RD. Conditions mimicking coarctation of the aorta. Pediatr Cardiol 2007; 28: 385–388.CrossRefGoogle ScholarPubMed
6.Doyle, NM, Mastrobattista, JM, Thapar, MK, Lantin-Hermoso, MR. Perinatal pseudocoarctation: echocardiographic findings in vein of Galen malformation. J Ultrasound Med 2005; 24: 93–98.CrossRefGoogle ScholarPubMed
7.Cumming, GR. Circulation in neonates with intracranial arteriovenous fistula and cardiac failure. Am J Cardiol 1980; 45: 1019–1024.CrossRefGoogle ScholarPubMed
8.Egan, M, Holzer, RJ. Comparing balloon angioplasty, stenting and surgery in the treatment of aortic coarctation. Expert Rev Cardiovasc Ther 2009; 7: 1401–1412.CrossRefGoogle ScholarPubMed
9.Lasjaunias, PL, Chng, SM, Sachet, M, Alvarez, H, Rodesch, G, Garcia-Monaco, R. The management of vein of Galen aneurysmal malformations. Neurosurgery 2006; 59 (Suppl 3): S184–S194.CrossRefGoogle ScholarPubMed
10.Bagdure, D, Bartakian, S, Kaufman, J. Coarctation of aorta and vein of Galen aneurysmal malformation in a neonate. Curr Opin Pediatr 2011; 23: 249–252.CrossRefGoogle ScholarPubMed