Fetal hydropericardium associated with left ventricular diverticulum

Cesko, I.; Hajdú, J.; Csapó, Z; Tóth, T.; Sipos, B.; Papp, Z.

doi:10.1002/(sici)1097-0223(199807)18:7<721::aid-pd321>3.3.co;2-7

Cited by 7 publications

(10 citation statements)

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“…An article was included when it reported about congenital LVA or LVD diagnosed in the prenatal period . Articles were excluded from this analysis when the presence of the LVA/LVD could be attributed to an identifiable cause [e.g.…”

Section: Methodsmentioning

confidence: 99%

Characteristics and outcome of primary congenital left ventricular aneurysm and diverticulum: analysis of cases from the literature

2014

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Twenty-six fetuses with prenatal diagnosis of LVA (50% male subjects) and 16 with LVD (38% male subjects) were identified. Fetal age at diagnosis was 23.8 ± 6.1 weeks. Mean maternal age was 30.6 ± 6.1 years old. LVA was larger (375 ± 237 vs 60 ± 71 mm(2); p = 0.002), and LVA/LVD was frequently observed in an apical location (62%). Associated cardiac/extracardiac defects were reported in 13/42 (31%). Symptomatic patients presented with arrhythmias (LVA 16% vs LVD 0%), hydrops fetalis (LVA 27% vs LVD 18.8%), or rupture (LVA 4% vs LVD 38%; p = 0.02). Size changes of the LVA/LVD during pregnancy were reported in 17%. Fetal death occurred in nine cases (21.4%); termination of pregnancy was performed in six cases (14.3%). All other babies were delivered at term. During follow-up (mean 29.1 ± 38.2 months), the rate of adverse events was significantly increased in patients with LVA (40 vs 0%; p = 0.04) CONCLUSION: The rate of fetal complications including fetal death is high. Long-term outcome among the survivors is significantly worse in patients with LVA.

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Section: Methodsmentioning

confidence: 99%

Characteristics and outcome of primary congenital left ventricular aneurysm and diverticulum: analysis of cases from the literature

2014

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“…The prenatal diagnosis of ventricular diverticulum is uncommon. Review of the literature shows that fetuses with a diverticulum were referred for cardiomegaly, an abnormal four-chamber view, and pericardial effusion (Carles et al, 1995;Cavalle-Garrido et al, 1997;Cesko et al, 1998;Hornberger et al, 1994;Johnson et al, 1996;Kitchiner et al, 1990;Matias et al, 1999;Teske et al, 1993). In our case, and in case number 1, the diagnosis was not made by fetal echocardiography.…”

Section: Diagnosis and Outcomementioning

confidence: 66%

“…The demise of this fetus could be related to the coexistence of a chromosomal abnormality. In two other cases, termination of pregnancy was decided because of the risk of pulmonary hypoplasia in very young fetuses with a large pericardial effusion (Carles et al, 1995;Cesko et al, 1998). The rupturing of a cardiac diverticulum is very rare.…”

Section: Diagnosis and Outcomementioning

confidence: 99%

Prenatal rupture of a left ventricular diverticulum: a case report and review of the literature

et al. 2004

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Congenital left ventricular diverticulum is a rare malformation. We report a case of a ruptured congenital left ventricular diverticulum in a 24-week-old fetus. The fetus was referred for a large and circumferential pericardial effusion confirmed by cross-sectional echocardiography in our tertiary fetal cardiology unit. Pericardiocentesis removed 25 mL of old hematic fluid. The fetus died 5 days later. The pathological examination showed a ruptured submitral fibrous diverticulum of the posterior wall of the left ventricle. There is no previous report in the literature of prenatal rupture of a cardiac diverticulum. The submitral location and the fibrous wall of the diverticulum is uncommon. As regards this case, we reviewed the diagnostic criteria and the outcome of 11 cases of prenatal cardiac diverticulum reported in the literature.

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“…However, depending on their location and association with other anomalies, diverticula may trigger heart failure, arrhythmia, rupture, large pericardial effusion, and hydrops fetalis 1,2,5,6 . In two cases with pericardial effusion diagnosed in early phases of pregnancy, the risk of pulmonary hypoplasia led to termination of pregnancy, a procedure that is legally permitted in the country where these cases were reported 5,6 . It is worth pointing out that, in the absence of hemodynamic impairment, pericardial effusion usually has a favorable outcome and spontaneous resolution 2 .…”

Section: Discussionmentioning

confidence: 99%

Diagnóstico pré-natal de aneurisma e divertículo do ventrículo esquerdo

Barberato

Binotto

et al. 2009

Arq. Bras. Cardiol.

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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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Fetal hydropericardium associated with left ventricular diverticulum

Cited by 7 publications

References 0 publications

Characteristics and outcome of primary congenital left ventricular aneurysm and diverticulum: analysis of cases from the literature

Characteristics and outcome of primary congenital left ventricular aneurysm and diverticulum: analysis of cases from the literature

Prenatal rupture of a left ventricular diverticulum: a case report and review of the literature

Diagnóstico pré-natal de aneurisma e divertículo do ventrículo esquerdo

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