Successful Embolization of a Large Vein of Galen Malformation in a Premature Infant Presenting with Congestive Heart Failure and Persistent Pulmonary Hypertension

as an abnormal fistula between the cerebral arteries and the great vein of Galen.1,2 Neonates with VGM usually present with cardiac failure and cyanosis, and can be mistaken as having cyanotic congenital heart diseases. Without interven-tion the mortality rate among infants with VGM is close to 100%.3 Endovascular embolization revolutionized the man-agement of VGM and significantly reduced its morbidity and mortality. Case Report The patient was a 3280-gram newborn female born at 35 weeks gestation. Apgar scores were 7 and 9 at 1 and 5 minutes, respectively. The patient developed early respiratory distress, mild cyanosis (O2 saturation 88%), and required endotrachial intubation. Initial cardiac examination showed hyperdynamic precordium and a faint systolic murmur. Ches