Vein of galen aneurysmal malformation (vgam)- anaesthetic management in an infant for embolization

Vein of Galen aneurysmal malformation (VGAM) is a rare congenital anomaly of intracranial circulation that occurs before birth. It’s a malformation where blood drains from cerebral arteries to a dilated vein of Galen. It commonly results in high-output congestive heart failure. It may also present with neurological symptoms like seizures, hydrocephalus and developmental delay. Early staged embolization of feeding vessels to shut off the shunt can improve survival rates in these patients. We present the case of a three months old boy with vein of Galen malformation for embolization.