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The patient, a newborn born at 37 weeks of pregnancy, experienced respiratory distress three hours after birth.
physical examination revealed retractation under the ribs, coarse breathing tones in both lungs and murmurs during contractions.
chest X-rays showed heart hypertrophobic and double-sided chest fluid build-up, echocardiograms showed that the egg round hole was not closed, the right atrium was dilated, the right atrium was hypertrophobic, the three-tip valve was closed incomplete, and the arterial catheter was not closed from right to left.
skull ultrasound and enhanced T1-weighted magnetic resonance imaging showed larger vein-type Galen malformation veins, hydrocephaly, and cerebral and microcephaly in the vector surface (Figure A) and axial graph (Figure B).
veins are a rare congenital venous fistula in the brain that can lead to heart failure in newborns and pulmonary hypertension.
support therapy and intravascular therapy have been shown to prolong survival, but the prognosis is still poor and neurodevelopmental outcomes vary.
the child was treated with an intravascular embolism in a malformed vein.
Despite treatment, including mechanical aeration and the use of vascular pressurizers, inhalation of nitric oxide, diuretics and prosthetic E1 treatment, the patient's pulmonary edema, liver failure and kidney failure worsened and died 21 days after birth.
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