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A case of giant vein of Galen malformation resulting in severe IUGR

Abstract Vein of Galen aneurysmal malformation (VGAM) is a rare congenital vascular malformation. We describe a unique case of VGAM diagnosed antenatally due to severe intrauterine growth restriction (IUGR) and heart failure. The neonate underwent two transarterial interventional embolization procedures on days 1 and 4 due to developing ventricular dilation and worsening cardiac failure. We emphazise the importance of a prenatal brain color-Doppler study in all cases of IUGR and the importance of tertiary center referral for a multidisciplinary team approach. Early embolization should be considered in the presence of antenatal heart failure, aiming to limit the neurological sequelae and the multiorgan failure.