{
  "abstract": "A term infant was admitted to the intensive care unit for respiratory distress following an elective caesarean section, secondary to fetal macrosomia. Antenatal history was significant for second-trimester anatomy ultrasound showing abnormal left cardiac axis deviation (65.9°), normal being 45±10° ( figure 1) and progressive polyhydramnios. A small right lung mass was questioned initially, raising suspicion for congenital lung malformations. A fetal echocardiogram demonstrated mild left axis deviation, with normal intracardiac anatomy, balanced ventricles and cardiac size. Given the uncertainty of diagnosis, serial fetal surveillance was warranted which revealed ongoing polyhydramnios, persistent axis deviation and development of macrosomia by third trimester, though no hydrops or definite fetal lung mass was noted.",
  "authors": [
    {
      "affiliations": [
        "Paediatrics, Western University, London, Ontario, Canada"
      ],
      "name": "Lisiane Hoff Calegari"
    },
    {
      "affiliations": [
        "Paediatrics, Western University, London, Ontario, Canada"
      ],
      "name": "Radhiya Al Maktumi"
    },
    {
      "affiliations": [
        "Paediatrics, Western University, London, Ontario, Canada"
      ],
      "name": "Soume Bhattacharya"
    },
    {
      "affiliations": [
        "Paediatrics, Western University, London, Ontario, Canada"
      ],
      "name": "Renjini Lalitha"
    }
  ],
  "title": "From fetal cardiac axis deviation to postnatal neurovascular diagnosis: road to a diagnosis of vein of Galen malformation",
  "uid": "e80b9c8a-0dbc-503e-a3fc-34967e640c5b"
}