Anesthetic Implications of Neonatal Vein of Galen Aneurysmal Malformation (VGAM)
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چکیده
PBLD Table #39 Anesthetic Implications of Neonatal Vein of Galen Aneurysmal Malformation (VGAM) Ira S Landsman, M.D. Nashville, Tennessee Than Nguyen, MD Nashville, Tennessee OBJECTIVES Outline the diagnostic tools available to identify neonatal VGAM. Discuss the etiology of cardiac failure and pulmonary hypertension. Formulate a rational evaluation of the patient’s clinical status and understand the options for treating congestive heart failure and pulmonary hypertension. Anticipate potential complications during intraoperative neuroembolism. STEM CASE -KEY QUESTIONS Patient was a 37 week 3 kg product of a normal pregnancy and delivery. Two hours after birth he was noted to be tachypneic. Chest x-ray revealed cardiomegaly. Over the next 24 hours respiratory symptoms improved but radiographic evidence of cardiomegaly persisted. An echocardiogram demonstrated a dilated right ventricle with possible pulmonary hypertension. On day 3 of life, the patient was transferred to Childrens Hospital. What is the differential diagnosis?
منابع مشابه
Vein of Galen Aneurysmal Malformation in a Neonate: A Case Report
Vein of Galen aneurysmal malformation (VGAM) is a rare congenital malformation, accounting for less than 1% of cerebrovascular abnormalities. The majority of reported cases have been associated with congestive heart failure (CHF) in the neonatal period. Herein, we present a case of VGAM, diagnosed at 37 weeks of gestation during the intrauterine life Case report: A full-term female newborn pre...
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