A four month old male infant who had a transarterial embolization of a large vein of Galen malformation attempted is reported. The infant presented in cardiac failure and a hydrocephalus. In addition the rare association of an apical ventricular septal defect and a patent ductus arteriosus with pulmonary hypertension was diagnosed. A staged transarterial coil embolisation using microcoils was commenced. The first attempt was uneventful. This was followed by the unfortunate demise of the patient from an intercurrent nosocomial pneumonia.

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