Diagnóstico pré-natal de aneurisma e divertículo do ventrículo esquerdo

Barberato, Márcia Ferreira Alves; Barberato, Sílvio Henrique; Binotto, Cristiane Nogueira; Cavalcanti, Mary Julianne M.; Passos, Ana Maria; Miyague, Nelson Itiro

doi:10.1590/s0066-782x2009000800025

Arq. Bras. Cardiol.

2009

DOI: 10.1590/s0066-782x2009000800025

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Diagnóstico pré-natal de aneurisma e divertículo do ventrículo esquerdo

Márcia Ferreira Alves Barberato

Sílvio Henrique Barberato

Cristiane Nogueira Binotto

et al.

Abstract: We report two cases of localized left ventricular (LV) protrusion, an entity that has been described in the literature as aneurysm or diverticulum. Both cases had different outcomes from those previously reported. Little is known on the incidence and natural history of these rare anomalies, whose progression may be asymptomatic or lead to severe complications and death in the prenatal period. The therapeutic approach should be customized.

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Cited by 11 publications

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“…The patient underwent surgery and the anatomic pathologist diagnosed left ventricular diverticulum. The diverticulum, a congenital protrusion in the myocardial wall of the LV, differs from an aneurysm by its close connection to the chamber and presence of myocardial fibers in the composition of the wall 1 . It most often affects the LV or right ventricular apex and is rare in the septum.…”

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confidence: 99%

Left Ventricular Diverticulum of the Interventricular Septum

Barberato¹,

Barberato²

2014

Arquivos Brasileiros De Cardiologia

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confidence: 99%

Left Ventricular Diverticulum of the Interventricular Septum

Barberato¹,

Barberato²

2014

Arquivos Brasileiros De Cardiologia

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Electrophysiologic features of fetal ventricular aneurysms and diverticula

et al. 2014

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Objective Congenital ventricular wall defects are very rare and include congenital ventricular aneurysms (CVAs) and diverticula (CVDs). Method We report a series of five fetuses: three with CVAs and two with CVDs referred due to fetal arrhythmia. In addition to routine fetal echocardiography, fetal magnetocardiography (fMCG) was used. The literature in CVA and CVD is reviewed. Results Incessant premature ventricular contractions (PVC), mainly bigeminy and trigeminy were found in three fetuses with CVAs and in one with CVD, who also had ventricular couplets. The other fetus with CVD, referred because of PVCs, had only sinus tachycardia. ST elevation was noted in two. Fetal movement had a variable impact on PVC’s. Postnatal evaluation demonstrated two persistent left ventricular aneurysms and one persistent right CVD; one CVD resolved at 35 weeks gestation. Two neonates had incessant PVCs. Both arrhythmias resolved spontaneously while being treated with propranolol. Conclusion FMCG is complementary to echocardiographic imaging. In fetuses with left ventricular wall defects, additional electrophysiological diagnosis can be made by fMCG, including the complexity of ventricular ectopy, arrhythmic response to fetal movement, presence of ST-T wave abnormalities, and atrial amplitude increases. Prenatal risk factor assessment using fMCG can additionally support post-natal treatment and follow-up.

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Prenatal diagnosis of congenital ventricular aneurysm and diverticulum: Prenatal features and perinatal management

et al. 2022

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Congenital ventricular diverticulum (VD) and aneurysm are rare cardiac developmental anomalies and their pathophysiology is still unclear. They present as an anomaly of the four chambers view, cardiomegaly, arrhythmia, pericardial effusion, or hydrops. They are usually isolated anomalies. Differential diagnosis between diverticulum and aneurysm is challenging during the prenatal period. Management policy is not uniform either conservative or repeated pericardial puncture. Objective We wanted to describe prenatal features and post‐natal outcomes of fetal cardiac out pouching. Methods We retrospectively report 6 cases of VD and aneurysm prenatally managed in our fetal medicine unit between 2010 and 2020. All cases were evaluated from the first or second trimester of pregnancy until postnatal follow‐up (3 months to 3 years). Results All six cases underwent a monthly ultrasound follow‐up with spontaneous regression of pericardial effusion, and normal hemodynamics at birth No pericardial puncture was done and postnatal outcome was favorable in all cases. Conclusion Based on our experience and on cases previously published, prenatal counseling should be prudent regarding the final diagnosis. Referral and monthly prenatal ultrasound follow‐up, birth in a tertiary center after multidisciplinary evaluation and cardiological evaluation at birth still seem mandatory.

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Diagnóstico pré-natal de aneurisma e divertículo do ventrículo esquerdo

Cited by 11 publications

References 11 publications

Left Ventricular Diverticulum of the Interventricular Septum

Left Ventricular Diverticulum of the Interventricular Septum

Electrophysiologic features of fetal ventricular aneurysms and diverticula

Prenatal diagnosis of congenital ventricular aneurysm and diverticulum: Prenatal features and perinatal management

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