01/16/2026
With Tuff’s upcoming surgery we have been receiving a lot questions related to his condition.
Vein of Galen Malformation (VOGM) is a rare and life threatening congenital brain condition that forms during the 1st trimester of pregnancy. It happens when abnormal arteries connect directly to a large vein deep in the brain, bypassing the normal capillary system.
This causes blood to rush through the brain at dangerously high speeds, placing extreme strain on a baby’s heart and brain. Without treatment, VOGM is often fatal.
The abnormal blood flow can lead to severe heart failure, hydrocephalus (fluid on the brain), seizures, developmental delays, and Stroke or brain injury.
Because of how rare and complex this condition is, treatment requires highly specialized neuro-interventional care. There is no medication that fixes VOGM, it must be treated with embolization procedures, which is done in stages to protect the brain and heart.
Embolization is a brain procedure/surgery, but it is anything but simple. Instead of open brain surgery, doctors access the VOGM by using a small catheter entered into the artery in the groin. They carefully guide that catheter through the artery up into the brain. Once they locate the abnormal arteries feeding the malformation, the surgeon then slowly blocks those vessels using medical materials such as metal coils, and glue. The goal is not to shut everything down at once. Closing the vessels too quickly can be dangerous. Instead, doctors reduce blood flow gradually over multiple procedures, allowing the heart and brain time to adjust safely.
Tuff was diagnosed with his vogm at just 3 weeks old.
Three weeks into life, and his tiny heart was already working overtime. What we thought were newborn struggles turned into emergency rooms, hospital transfers, specialty teams, and a diagnosis that changed everything, our entire lives, overnight.
Since then, Tuff has faced more than most adults ever will. Almost 10 days of intubation, tons of testing, long nights surrounded by machines, and procedures that required faith, grit, and courage far beyond his size.
This Tuesday, Tuff goes in for his 4th embolization surgery.
Each procedure is another careful step toward giving his heart relief and protecting his growing brain.
It doesnt get easier with time. None of this is easy. None of it is guaranteed. But boy, has it taught us about life. How fragile. How precious.
We choose to share Tuff’s journey because we believe in the power of prayer. We believe in the energy that we put towards something. We also want to bring awareness to VOGM as early diagnosis can save lives.
And…
We are deeply grateful. For our community of support. For access to specialized care, for skilled doctors, compassionate nurses, and most importantly every milestone we are blessed to witness.
Please keep Tuff in your prayers this Tuesday as he takes on another battle.
As always,
Tough like Tuff 💙💪🏻
n