# Vein of Galen Aneurysmal Malformation Presenting As Persistent Pulmonary Hypertension in a Newborn: A Case Report

## TL;DR

A newborn with a rare brain blood vessel condition was misdiagnosed with lung-related high blood pressure before passing away from heart failure.

## Contribution

This case report highlights VOGM as a rare but critical cause of PPHN in infants.

## Key findings

- VOGM can present as PPHN in newborns, leading to delayed diagnosis.
- The patient died from high cardiac output heart failure due to untreated VOGM.
- Early recognition of VOGM is crucial for timely intervention in infants with PPHN.

## Abstract

We present a case of a newborn infant with a vein of Galen aneurysmal malformation (VOGM) who was admitted to our neonatal intensive care unit (NICU) with the diagnosis of persistent pulmonary hypertension of the newborn (PPHN). Further work-up at our institution, which included an echocardiogram and cranial ultrasound revealed VOGM. The patient was transferred to a children’s center for further management of the vascular malformation where the patient subsequently died from high cardiac output heart failure. This study highlights the importance of considering a VOGM as a rare cause of PPHN in an infant.