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Archives de pédiatrie
Volume 26, n° 3
pages 176-178 (avril 2019)
Doi : 10.1016/j.arcped.2019.02.004
Received : 4 June 2018 ;  accepted : 3 February 2019
Shorts Communication

An unusual cause of cardiac failure in a neonate

W. Kojmane , F. Hmami, S. Atmani
 Service de réanimation néonatale, CHU Hassan II-Fès, université Sidi Mohamed Ben Abdellah, 30000 Fès, Morocco 

Corresponding author.

We report the case of a newborn admitted with signs of congestive cardiac failure with prominent and pulsatile cervical veins. Echocardiography showed a structurally normal heart, right-to-left ductal flow, and reversed diastolic flow in the proximal descending aorta. A computed-tomography scan of the head showed a vein of Galen arteriovenous malformation. This highlights the importance of considering an intracranial cause in the differential diagnosis of neonatal congestive heart failure.

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Keywords : Newborn, Vein of Galen malformation, Cardiac failure

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