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  • Title: Unrepaired Maternal Vein of Galen Malformation in Pregnancy: A Case Report.
    Author: Ackerman-Banks CM, Fardelmann KL, Lam D, Simmons MA, Elder RW, Matouk C, Campbell KH.
    Journal: A A Pract; 2022 Oct 01; 16(10):e01634. PubMed ID: 36599040.
    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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