Neonatal cardiac failure - a pulsating brain

Arterio-venous malformations should be considered in the case of neonatal cardiac failure with normal echocardiogram. A rare case of Vein of Galen Aneurysmal Malformation [VGAM] resulting in neonatal high output cardiac failure is reported. Clinical presentation, imaging techniques, and prognosis of this disorder is discussed. The advance in management including endovascular emobilization at special centers and the outcome is outlined