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Revista Colombiana de Cardiología
Print version ISSN 0120-5633
Abstract
ECHEVERRIA, Claudia; CASSALETT, Gabriel; FRANCO, Jaime and CARRILLO, Gustavo. Galen's vein aneurysm as cause of heart failure. Rev. Col. Cardiol. [online]. 2005, vol.12, n.4, pp.163-166. ISSN 0120-5633.
We present the case of a newborn admitted to the intensive care unit with a heart failure of difficult medical management. A large ductus arteriosus was found. It was surgically corrected, but the heart failure persisted and did not improve with medical treatment. Incidentally, a big Galen's vein aneurysm was found. Galen's vein aneurysm is a rare congenital pathology, originated by a fusion defect of the internal cerebral veins. Due to its low resistance, it produces a picture of high-output heart failure. Large defects may contain 50% to 60% of cardiac output. An aneurysm may be suspected in each newborn or infant with clinical picture of heart failure and right cardiac chamber dilation without any evidence of structural cardiac anomaly.
Keywords : aneurysm; Galen's vein; heart failure.