Affiliations: Department of Pediatrics, University of Western Ontario, London, Canada | Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany | Department of Pediatrics, Rems-Murr Hospital, Waiblingen, Germany
Note:  Corresponding author: Kambiz Norozi, Division of Pediatric Cardiology, Department of Paediatrics, London Health Sciences Centre, Western University, 800 Commissioners Road East, PO Box 5010, London, ON, N6A 5W9, Canada. Tel.: +1 519 685 8500; extension 56062; Fax: +1 519 685 8156; E-mail: [email protected]
Abstract: Vein of Galen arterio-venous malformation is a rare congenital anomaly, which presents in the neonatal period. High output heart failure in the absence of an underlying structural heart defect points towards the condition and is an important contributing factor for morbidity and mortality. We describe a case of a term newborn who presented with respiratory distress and cardiomegaly. The characteristic echocardiographic findings of high output cardiac failure were found and eventually led to the diagnosis of an underlying vein of Galen arterio-venous malformation. The relevant literature is discussed.
Keywords: Vein of Galen arterio-venous malformation, echocardiography, neonate