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Patient was referred to pediatric cardiology unit of the hospital where he was initially managed with medications like diuretics to control the congestive cardiac failure and is currently doing well on diuretics and angiotensin-convertase enzyme inhibitors. On ultrasonography the most striking prenatal feature is the detection of a cerebral midline tubular anechoic structure superior to the thalamus, which is contiguous with the dilated sagittal sinus (the "comet tail" or "keyhole" sign).
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"Vein of Galen malformation presenting as congestive heart failure"Please download to view full document