| The hidden mortality of vein of galen aneurysmal malformation: retrospective study and review of the literature. | |
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MedLine Citation:
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PMID: 22605540 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objective: To evaluate the prognosis of prenatally diagnosed vein of Galen aneurysmal malformation (VGAM) in a large cohort. To review the literature on prenatally diagnosed VGAM. Study design: This was a retrospective study of all cases of prenatally diagnosed VGAM managed in our referral center during a 10 years period. VGAM was categorized into isolated forms and forms associated with any other abnormality, based on fetal ultrasound and MRI findings. Poor outcomes comprised termination of pregnancy with confirmation of antenatal findings, perinatal death, and severe cardiac and/or neurological impairment in survivors. The literature was also reviewed and compared for similar cases. Results: 21 cases of prenatally diagnosed VGAM were managed in our center. Four cases were isolated (19%) and 17 (81%) were associated with other anomalies. There were 9 terminations (43.0%) and 6 neonatal deaths (28.5%). Six children (28.5%) were still alive at last follow-up, 3 of them had an abnormal neurological development. VGAM associated with other anomalies was strongly associated with a poor outcome as compared to isolated forms (p<10(-4) ). One hundred and nine cases from the literature were also reviewed. Conclusion: Fetuses with prenatally diagnosed VGAM are associated with poor outcomes in the presence of cardiac or neurological anomalies while those with strictly isolated VGAM tend to have a normal outcome, our literature review confirm this finding. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd. |
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Authors:
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B Deloison; Ge Chalouhi; P Sonigo; M Zerah; Ae Millisher-Bellaiche; Y Dumez; F Brunelle; Y Ville; Lj Salomon |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-5-17 |
Journal Detail:
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Title: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology Volume: - ISSN: 1469-0705 ISO Abbreviation: - Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-5-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9108340 Medline TA: Ultrasound Obstet Gynecol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd. |
Affiliation:
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Paris Descartes University, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants, 149 rue de Sèvres, 75015 Paris France. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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