Palavras-chave
defectos congénitos
cerebro
neonatos
diagnóstico prenatal intrauterino
Como Citar
Resumo
La malformación aneurismática de la vena de Galeno (MAVG) es poco frecuente, pues tiene una prevalencia calculada en menos de uno en 25 000 nacidos vivos. Puede causar una alta morbilidad y mortalidad en neonatos y, con menor frecuencia, en niños mayores. Está ubicada en el plexo coroideo, en el techo del tercer ventrículo, en la región del velum interpositum. Se presentacomo una fístula arteriovenosa, usualmente entre las arterias coroidales y el saco aneurismático, lo que lleva a una dilatación de la vena de Galeno. Cuando los neonatos son sintomáticos, la presentación clínica usual de la MAVG es una falla cardiaca de alto gasto, que se ha reportado hasta en el 94% de los neonatos a quienes se les diagnostica una MAVG. En el pasado, dicha falla progresaba rápidamente a falla multiorgánica y muerte; sin embargo, actualmente las técnicas endovasculares y las unidades de cuidado intensivo han mejorado el mal pronóstico de la MAVG. Se presenta el caso de un recién nacido con diagnóstico antenatal de MAVG con malformaciones cardiacas, que en el momento vive, a pesar del pronóstico reportado en la literatura.
Lasjaunias P, Hui F, Zerah M et al. Cerebral arteriovenous malformations in children: management of 179 consecutive cases and review of the literature. Childs Nerv Syst. 1995;11(2):66-79.
Brunnelle F. Arteriovenous malformation of the vein of Galen in children. Pediatr Radiol. 1997;27:501-13.
Frawley GP, Dargaville PA, Mitchell PJ, et al. Clinical course and medical management of neonates with severe heart failure related to vein of Galen malformation. Arch Dis Child Fetal Neonatal Ed. 2002;87:144-9.
Gailloud P, O’Riordan DP, Burger I et al. Diagnosis and management of vein of Galen aneurysmal malformations. J Perinatol. 2005;25;542-55.
González RJ, Ceciliano A, Zuccaro G. Malformación de la vena de Galeno. Rev Argen de Neurocienc. 2006;20:169-72.
Piloña S, Sarmiento Y, Crespo A, Sánchez I et al. Aneurisma de la vena de galeno. Rev Cubana Pediatr. 2010;82(3):76-82.
Raybaud CA, Strother CM, Hald JK. Aneurysma of the Galen VEIN: Embryonic considerations and anatomical features relating to the pathogenesis of the malformation. Neuroradiol. 1989;31:109-28.
Palermo M, Luscialdo S, Aguilar M, Martínez F, Trigubo D. Diagnóstico intrauterino de malformación de la vena de Galeno. Perinatol Reprod Hum. 2011;25(2):94-8.
Gupta AK, Varma DR. Vein of Galen malformations: a review. Neurol India. 2004;52:43-53.
Li AH, Armstrong D, TerBrugge KG. Endovascular treatment of vein of Galen aneurismal malformation: management strategy and 21-year experience in Toronto. J Neurosurgery Pediatrics. 2011;7:3-10.
McElhinney DB, HalbachVV, Silverman NH et al. Congenital cardiac anomalies with vein of Galen malformations in infants. Arch Dis Child .1998;78:548-51.
Hussain A, Amin M, Kurdi K, Galal MO. Vein of Galen malformation and interrupted aortic arch in a neonate: a previously unreported association. Ann Saudi Med. 2005;25:258-61.
Hoffman JI, Kaplan S. The incidence of congenital heart disease. JACC. 2002;39(12):1890-900.
Eide J, Folling M. Malformation of the great vein of Galen with neonatal heart failure: report of two cases. Acta Paediatrica. 1978;67:529-32.
Friedman DM, Rutkowski M, Madrid M, Berenstein A. Sinus venosus atrial septal defect associated with vein of Galen malformations: report of two cases. Pediatr Cardiol. 1994;15(1):50-2.
Lasjaunias PL, Chng SM, Sachet M et al. The management of vein of Galen aneurysmal malformations. Neurosurgery. 2006;59(5 Supl 3):S184-94.
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.