산전진단된 갈렌정맥의 정맥류: 증례보고
Prenatal diagnosis of the vein of Galen aneurysm: A case report
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초록
갈렌정맥류는 매우 드문 혈관 기형이나 기존의 초음파로 발견 가능하며 도플러초음파로 진단할 수 있다. 그 예후는 뇌 단락(cerebral shunt)에 의해 발생한 울혈성 심부전 여부에 달려있으며 적절한 시기에 색전술을 시행하면 좋은 예후를 기대할 수 있다. 본 저자들은 갈렌정맥류를 도플러초음파로 산전에 진단하였고 출생 후 색전술을 시행하여 좋은 예후를 보인 증례를 경험하였기에 이를 보고하는 바이다.
Abstract
The vein of Galen aneurysm is a rare vascular malformation but it can be detected by using conventional ultrasonography and diagnosed by using power Doppler ultrasonography. The prognosis of the vein of Galen aneurysm depends on congestive heart failure caused by cerebral shunt. Embolization at proper times can provide good outcome. We report a case of spontaneous delivery at 41 weeks of gestation by a 35-year-old woman presenting with a fetal vein of Galen aneurysm is described. The vein of Galen aneurysm was prenatally diagnosed by power Doppler ultrasonography and treated postnatally by embolization. This case is a report of successful prenatal diagnosis and postnatal management of the vein of Galen aneurysm.
참고문헌 (14)
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