Coarctation of the aorta and vein of Galen malformation - treatment considerations in a severely compromised patient.

A vein of Galen malformation – a rare cause of cardiac insufficiency in neonates – is sometimes associated with coarctation of the aorta, two diseases requiring urgent therapy in the neonatal period. We report on a term neonate in whom we first palliated the coarctation by stent implantation, providing time to treat the vein of Galen malformation by endovascular embolisation. Following this, the coarctation was surgically repaired and the stent was explanted.