R. Goelz et al., VEIN OF GALEN ARTERIOVENOUS MALFORMATION - ETHICAL PROBLEMS OF INTENSIVE-CARE, Zeitschrift fur Geburtshilfe und Perinatologie, 200(2), 1996, pp. 72-75
In two fetuses a vein of Galen aneurysmal malformation was prenatally
diagnosed causing cardiac failure and hydrocephalus associated with ma
rked encephalomalacia. Blood flow in the vena prosencephalica measured
by Doppler ultrasonography was extremely high (1290 and 1500 ml/min m
aximum). In a interdisciplinary council a strictly noninvasive pre- an
d postnatal procedure was proposed, After adequate information both pa
rents agreed with this approach. The neonates died immediately after b
irth.