Vein of Galen aneurysm

Bajram H. Syla, MD*; Shqipe Fetiu, MD**; Shpresa Tafarshiku , MD*

*    Private Gynecological Clinic “Dr. Bajrami”, Ferizaj, Kosova;
**   University Clinical Center - Gynecological Clinic, Pristine, Kosova.

Case report

The images below show a case of the vein of Galen aneurysm obtained at 30 week of pregnancy. The baby died 11 hours after delivery because of cardiac insufficiency.

Images 1, 2: Transverse scans of the fetal head at 30 weeks of pregnancy showing a central hypoechoioc structure (15 mm of width) representing aneurysm of the vein of Galen.

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Images 3, 4: Color Doppler transverse scans of the fetal head at 30 weeks of pregnancy showing the blood flow in the aneurysm of the vein of Galen.

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Images 5, 6: The pulsed Doppler showing the pulsations at the level of the aneurysm (image 5). Image 6 shows marked dilatation of the heart with a right predominence at the level of the four-chamber view. 

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