In utero diagnosis of an aneurysm of the vein of Galen causing hydrocephalus and heart failure.
A prenatally diagnosed aneurysm of the vein of Galen was presented in the fetus of a patient referred to our hospital at 31 weeks of gestation. Ultrasonography demonstrated polyhydramnios, cardiomegaly, dilatation of the right atrium and superior vena cava, tricuspid valve regurgitation, hydrocephalus, and a large hypoechoic mass with blood flow in the suboccipital region. Skin edema was shown thereafter. A 3262-g male was delivered by cesarean at 35 weeks of gestation. Computed tomography imaging demonstrated a large mass in the suboccipital region, after which thrombocytopenia appeared and the neonate died at 18 days of age.
Hirose
Masaya
M
Department of Obstetrics and Gynecology, Shiga University of Medical Science, Setatsukinowa, Ohtsu-Shiga, Japan. hirose@belle.shiga-med.ac.jp
Yomo
Hiroko
H
Akiyama
Minoru
M
Kimura
Toshio
T
Noda
Yoichi
Y
D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D002550:Cerebral Veins / Q000000981:diagnostic imaging* / Q000503:physiopathology; D017809:Fatal Outcome; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000209:etiology*; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D016216:Ultrasonography, Prenatal / Q000379:methods*