Unrepaired Maternal Vein of Galen Malformation in Pregnancy: A Case Report.

IF 0.5

A&A Practice Pub Date : 2022-10-01 DOI:10.1213/XAA.0000000000001634

Christina M Ackerman-Banks, Kristen L Fardelmann, David Lam, M Abigail Simmons, Robert W Elder, Charles Matouk, Katherine H Campbell

引用次数: 0

Abstract

We present a case of a pregnant patient with an unrepaired vein of Galen malformation (VGAM) and left ventricular (LV) dilation. Patients with VGAM lesions typically present during childhood with cardiac failure or developmental delay prompting embolization. Therefore, it is highly unusual for an adult to present with an unrepaired lesion.1 It poses challenges for obstetric and anesthetic management during pregnancy and delivery to reduce the risk of heart failure, arrhythmia, and intracranial hemorrhage. Our patient safely delivered a term neonate by cesarean delivery with neuraxial analgesia at a Level IV Maternal Care Center.

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妊娠期未修复母静脉盖伦畸形1例报告。

我们提出一个病例的孕妇与未修复的静脉盖伦畸形(VGAM)和左心室(LV)扩张。患有VGAM病变的患者通常在儿童期出现心力衰竭或发育迟缓，导致栓塞。因此，成人出现未修复的病变是非常罕见的这对妊娠和分娩期间的产科和麻醉管理提出了挑战，以降低心力衰竭、心律失常和颅内出血的风险。我们的病人安全分娩足月新生儿剖宫产与神经轴镇痛在四级产妇护理中心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.