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- Christina M Ackerman-Banks, Kristen L Fardelmann, David Lam, M Abigail Simmons, Robert W Elder, Charles Matouk, and Katherine H Campbell.
- From the Departments of Obstetrics, Gynecology, and Reproductive Science.
- A A Pract. 2022 Oct 1; 16 (10): e01634e01634.
AbstractWe present a case of a pregnant patient with an unrepaired vein of Galen malformation (VGAM) and left ventricular (LV) dilation. Patients with VGAM lesions typically present during childhood with cardiac failure or developmental delay prompting embolization. Therefore, it is highly unusual for an adult to present with an unrepaired lesion.1 It poses challenges for obstetric and anesthetic management during pregnancy and delivery to reduce the risk of heart failure, arrhythmia, and intracranial hemorrhage. Our patient safely delivered a term neonate by cesarean delivery with neuraxial analgesia at a Level IV Maternal Care Center.Copyright © 2022 International Anesthesia Research Society.
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