title: [Anesthetic and perioperative management of a neonatal vein of Galen malformation with multiple organ failure].
abstract: We treated a neonate in intractable cardiac failure due to a vein of Galen malformation. She manifested severe multiple organ failure. Perioperative problems are cardiac failure, respiratory failure, renal as well as hepatic dysfunction, and coagulopathy. Direct clipping of the feeding arteries improved her symptoms. Anesthetic problems encountered in this patient are massive bleeding and drastic circulatory changes while clipping the feeding arteries, increased intracranial pressure and brain ischemia, and other underlying complications; hepatic and renal dysfunction, respiratory failure and coagulopathy.
authors.affiliation: Department of Anesthesiology, Osaka Medical Center, Izumi.
authors.forename: M
authors.initials: M
authors.lastname: Takeuchi
authors.forename: A
authors.initials: A
authors.lastname: Wakayama
authors.forename: M
authors.initials: M
authors.lastname: Matsuyama
authors.forename: K
authors.initials: K
authors.lastname: Fukumitsu
authors.forename: K
authors.initials: K
authors.lastname: Kinouchi
authors.forename: S
authors.initials: S
authors.lastname: Kitamura
mesh_terms: D000768:Anesthesia, General; D002550:Cerebral Veins / Q000002:abnormalities*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D002538:Intracranial Arteriovenous Malformations / Q000150:complications / Q000601:surgery*; D009102:Multiple Organ Failure / Q000209:etiology*; D019990:Perioperative Care; D014656:Vascular Surgical Procedures