Fetal atrial appendage aneurysm: Prenatal diagnosis by echocardiography and prognosis

Wang, Xin; Liu, Jingjing; Han, Jiancheng; Sun, Lin; Zhang, Ye; Gu, Xiaoyan; Xue, Chao; Liu, Xiaowei; He, Yihua

doi:10.1111/echo.15089

Cited by 5 publications

(13 citation statements)

References 23 publications

(49 reference statements)

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“…Diagnostic imaging, including echocardiography and computed tomography, plays a crucial role in confirming the diagnosis and assessing the extent of the aneurysm ( 11 , 12 ). Fetal echocardiography could even detect LAAA if the lesion is large enough ( 13 , 14 ). The characteristic cystic appearance and connection to the left atrium helps to differentiate it from other extracardiac mass or abnormalities.…”

Section: Discussionmentioning

confidence: 99%

Case Report: One heart with two lobes: a rare infantile congenital giant left atrial appendage aneurysm

Chan,

Ly Ly,

Hai

et al. 2023

Front. Pediatr.

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Left atrial appendage aneurysm (LAAA) is an extremely rare congenital heart abnormality, with varying degrees of symptoms, ranging from asymptomatic to arrhythmia, thromboembolic event or airway obstruction. Most infantile cases were incidentally found by echocardiography. Contrast-enhanced chest tomography can confirm the diagnosis and inform surgical plan. We describe an asymptomatic young female infant who had a unique extreme cardiomegaly on a chest x-ray and received surgical aneurysmectomy. Her heart was restored to a normal cardiac size after the heart surgery.

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Section: Discussionmentioning

confidence: 99%

Case Report: One heart with two lobes: a rare infantile congenital giant left atrial appendage aneurysm

Chan,

Ly Ly,

Hai

et al. 2023

Front. Pediatr.

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“…One article stated that, in four patients with similar pathology, drug treatment had either no effect or was only partially effective [ 6 ]. Furthermore, it has been stated that surgical resection could abolish the original A.T. [ 12 ]. Two of the patients studied reverted to A.T., which was successfully controlled by using antiarrhythmic medication [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Of note is the fact that it is possible to detect RAAA in fetuses through echocardiography using a four-chamber view and the view of the right ventricular inflow tract [ 12 ]. Some atrial tachyarrhythmias may persist after birth [ 12 ]. In one case report, the role of transesophageal echocardiography was considered to be very important because of the quality of information provided to the surgical team that operated on that patient [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

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A Gigantic Congenital Right Atrial Appendage Aneurysm in an Infant: Ten-Year Follow-Up

et al. 2022

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“…Исследователи пришли к заключению, что для диагностики врожденной аневризмы ушка предсердия наиболее полезными проекциями у плода была проекция по короткой оси и четырехкамерная проекция. Также авторы отметили, что предсердные тахиаритмии внутриутробно могут сохраняться после рождения, а пациенты с данной патологией должны находиться под пристальным наблюдением врачей [37].…”

Section: лекции и обзоры Lectures and Reviewsunclassified

Modern Possibilities of Ultrasound Diagnostics of Fetal Heart Defects

Хамидов¹,

Жураев²,

З.Н.³

et al. 2023

Репродуктивное Здоровье. Восточная Европа

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Актуальность исследуемой проблемы обусловлена недостатком систематизированной информации о современных возможностях ультразвуковой диагностики пороков сердца плода. Целью данного обзора являлось освещение вопросов эпидемиологии врожденных пороков сердца, причин этой патологии, ее скрининга, интерпретации результатов исследований, обучения специалистов и обсуждение других вышеназванных открытых вопросов современных возможностей ультразвуковой диагностики пороков сердца плода. Также в статье рассматривались вопросы выявления редких пороков сердца у плода, некоторые аспекты их лечения и принятия женщиной решения о прерывании беременности. Задачей исследования являлся отбор источников по рассматриваемой теме, анализ аргументации, систематизация и адаптация материалов исследований. Приведены результаты обзора литературы, касающейся скрининга ВПС, интерпретации показателей и других аспектов диагностики ВПС плода. В литературе отмечалось, что важная роль в современной ультразвуковой диагностике отводится автоматизированным системам и технологиям искусственного интеллекта, в том числе фетальной интеллектуальной навигационной эхокардиографии (FINE). Многие авторы сходились во мнении, что рутинная оценка сердца плода с помощью УЗИ позволит эффективно диагностировать врожденные пороки сердца во внутриутробном периоде. Также исследователи рекомендовали более индивидуальный и адаптированный протокол ведения для каждого случая с учетом факторов, связанных как с беременной женщиной, так и с плодом, включая отягощенный анамнез пациентки, ожирение, гестационный возраст плода и генетический статус плода и женщины. Материалы данной статьи могут быть использованы врачами различных специальностей для дополнения своих знаний и дальнейшего изучения различных аспектов УЗ-диагностики ВПС плода. The relevance of the studying problem is due to the lack of systematized information about the modern possibilities of ultrasound diagnosis of fetal heart defects. The purpose of this review was to highlight the epidemiology of congenital heart defects, the causes of this pathology, its screening, interpretation of research results, training of specialists and discussion of other above-mentioned open issues of modern possibilities of ultrasound diagnosis of fetal heart defects. The article also considered the issues of identifying rare heart defects in the fetus, some aspects of their treatment and a woman’s decision to terminate pregnancy. The objective of the study was to select sources on the topic under consideration, analyze arguments, systematize and adapt research materials. The results of the literature review concerning the screening of congenital heart defects, interpretation of the results and other aspects of the diagnosis of fetal congenital heart defects are presented. It was noted in the literature that an important role in modern ultrasound diagnostics is given to automated systems and artificial intelligence technologies, including fetal intelligent navigation echocardiography (FINE). Many authors agreed that a routine assessment of the fetal heart using ultrasound will effectively diagnose congenital heart defects in the prenatal period. The researchers also recommended a more individual and adapted management protocol for each case, taking into account factors related to both the pregnant woman and the fetus, including the presence of a burdened history in the patient, obesity, gestational age of the fetus and the genetic status of the fetus and the woman. The materials of this article can be used by doctors of various specialties to supplement their knowledge and further study various aspects of ultrasound diagnosis of fetal congenital heart defects.

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Fetal atrial appendage aneurysm: Prenatal diagnosis by echocardiography and prognosis

Abstract: Multimodality cardiac imaging, such as echocardiography, computed tomography, and magnetic resonance imaging, can be used to detect

Cited by 5 publications

References 23 publications

Case Report: One heart with two lobes: a rare infantile congenital giant left atrial appendage aneurysm

Case Report: One heart with two lobes: a rare infantile congenital giant left atrial appendage aneurysm

A Gigantic Congenital Right Atrial Appendage Aneurysm in an Infant: Ten-Year Follow-Up

Modern Possibilities of Ultrasound Diagnostics of Fetal Heart Defects

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