Evolution of Fetal Ventricular Aneurysms and Diverticula of the Heart: An Echocardiographic Study

Cavallé‐Garrido, Tíscar; Cloutier, Alain; Harder, James A.; Boutin, Christine; Smallhorn, Jeffrey F.

doi:10.1055/s-2007-994167

Cited by 90 publications

(124 citation statements)

References 15 publications

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“…In the absence of in utero cardiovascular impairment, there appears to be a good prognosis. However, as previously reported by CavalleGarrido et al, 1 Matias et al, 5 and McElhinney and Silverman, 6 aneurysmal enlargement may be indicative of poor prognosis, as are the findings of ascites and hydrops. In addition, it appears that the earlier the defect is detected, the more serious the prognosis.…”

Section: Discussionsupporting

confidence: 54%

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Congenital Cardiac Left Ventricular Aneurysm With Pericardial Effusion

Kady

Gerscovich

Moon-Grady

et al. 2005

Journal of Ultrasound in Medicine

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ongenital left ventricular aneurysm is a rare condition characterized by a protrusion or outpouching of the ventricular wall. The etiology is unknown, and there is a variable prognosis in the current literature. Approximately 20 cases detected by prenatal ultrasonography have been reported, 1-12 with 4 of these cases indicating the presence of pericardial fluid. 1,10,11 We report a case of left ventricular aneurysm with a large pericardial effusion diagnosed at 17 weeks' gestation but retrospectively recognized on imaging at 15 weeks 6 days. To our knowledge, this represents the earliest reported prenatal diagnosis to date and newly reports placement of a pericardial drain catheter in this condition. Case ReportA 47-year-old white woman, gravida 9, para 6025, was referred for routine screening ultrasonography for advanced maternal age at an estimated menstrual age (EMA) of 15 weeks 6 days, which revealed a pericardial effusion. The patient's medical history was notable for severe hypertension, requiring multiple medications: nifedipine (calcium channel blocker), and methyldopa (a central α-adrenergic agent). She had been hospitalized at 11 weeks 2 days with fever, vomiting, and dehydration due to an acute viral illness and sinusitis, requiring intravenous hydration, antihypertensive medications, and amoxicillin. Though all her prior pregnancies were uneventful, her sixth child died 2 days after birth, and an autopsy was unremarkable. Initial ultrasonography at an EMA of 15 weeks 6 days showed a single live intrauterine pregnancy with a pericardial effusion. Amniocentesis was performed for karyotype analysis, and the result was normal, 46,XY. Results

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Section: Discussionsupporting

confidence: 54%

“…Of the cases reviewed, 4 reports revealed pericardial effusion with a left ventricular aneurysm. 1,10,11 Prenatal pericardiocentesis was performed in 2 of them (Table 1). 1,12 The success in both cases is associated with resolution of the effusion, unlike our case, in which the fluid reaccumulated.…”

Section: Discussionmentioning

confidence: 99%

Congenital Cardiac Left Ventricular Aneurysm With Pericardial Effusion

Kady

Gerscovich

Moon-Grady

et al. 2005

Journal of Ultrasound in Medicine

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“…The diverticular measurements remain stable over pregnancy but appear to diminish relative to the heart, which continues to grow. 2 The differential diagnosis of right ventricular diverticula includes Ebstein anomaly, cardiomyopathy, outflow tract obstruction, and substantial atrioventricular regurgitation. 1 Authors have also reported the prenatal diagnosis of fetal ventricular aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Prenatal Sonographic Diagnosis of Fetal Right Ventricular Diverticulum

Wax

Moran

Pinette

et al. 2007

Journal of Ultrasound in Medicine

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“…[58][59][60] This distinction is easily made with color Doppler sonography. In a cardiac diverticulum, the ventricle will show flow, whereas in an aneurysm, little evidence of color will be seen, not only in the "outpouching" but also in the ipsilateral ventricle.…”

Section: Case 12mentioning

confidence: 99%

A Review of Findings in Fetal Cardiac Section Drawings

Jeanty¹,

Chaoui²,

Tihonenko

et al. 2007

Journal of Ultrasound in Medicine

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Objectives. The goal of this presentation is to review some of the common and rare fetal heart abnormalities and to provide an easy approach to these findings with schematic drawings. Methods. Over the past 10 years, we collected cases in which the common views of the heart were abnormal and the differential diagnoses that existed for each. The presentation shows the normal sonographic sections and then variations of these sections and the associated anomalies. We used illustrative drawings to present these findings, enabling us to point out the main sonographic features of abnormalities of the heart. Results. The work reviews 17 fetal heart abnormalities in schematic drawings. Conclusions. This short review highlights several of the anomalies that can be recognized on the common sonographic views. The drawings tend to simplify the findings but serve as a basis for those doing fetal echocardiography when they encounter an unusual finding.

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Evolution of Fetal Ventricular Aneurysms and Diverticula of the Heart: An Echocardiographic Study

Cited by 90 publications

References 15 publications

Congenital Cardiac Left Ventricular Aneurysm With Pericardial Effusion

Congenital Cardiac Left Ventricular Aneurysm With Pericardial Effusion

Prenatal Sonographic Diagnosis of Fetal Right Ventricular Diverticulum

A Review of Findings in Fetal Cardiac Section Drawings

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