Prenatal diagnosis of a right ventricular diverticulum complicated by pericardial effusion in the first trimester

Río, M. del; Martínez, Josep M.; Bennásar, M.; Palacio, Montse; Figueras, F.; Puerto, B.; Mortera, Carlos; Cararach, V.

doi:10.1002/uog.1870

Cited by 28 publications

(16 citation statements)

References 14 publications

(20 reference statements)

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“…In other research, McAuliffe et al [12] and Koshiishi et al [10] distinguished aneurysms from diverticula by the size of the orifice connecting the ventricles. In addition to this criterion, Cavallé-Garrido et al [13] and Del Río et al [14] included the evaluation of abnormal heart chamber contractibility. Because the important point in the distinction between ventricular diverticulum and aneurysm is whether an abnormal heart chamber has the myocardium, evaluating the wall contractility leads to evaluating whether it has the myocardium.…”

Section: Discussionmentioning

confidence: 99%

Fetal Right Ventricular Diverticulum Detected by Prenatal Ultrasound Screening

Katsura

Hayashi

Tsuji

et al. 2016

Case Reports in Obstetrics and Gynecology

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Prenatal ultrasound screening has allowed for the detection of in utero cardiac abnormalities. Specifically, distinction is possible between ventricular diverticula and aneurysms, which is important because each condition has a different clinical outcome. We report the case of a 35-year-old, gravida 1, para 1 woman, with no significant past medical history, who underwent routine prenatal ultrasound screening at 32 weeks' gestation. A four-chamber ultrasound of the fetal heart combined with M-mode echocardiography showed abnormal dilatation of the right ventricular chamber measuring 2.2 cm × 1.0 cm but with normal contractility. Delivery was performed at full term by cesarean section, and a right ventricular diverticulum was confirmed by postnatal cardiac computed tomography. The baby developed normally with no cardiac sequelae during followup. This case demonstrates the importance of making a correct diagnosis of ventricular diverticula by prenatal ultrasound when abnormal dilatation of the fetal ventricle is identified during routine screening. Because evaluating the wall contractility by M-mode ultrasound leads to evaluating whether it has the myocardium, we conclude that M-mode echocardiography is effective for the purpose of prenatal cardiac diagnosis and can distinguish between ventricular aneurysms and functioning ventricular diverticula.

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Section: Discussionmentioning

confidence: 99%

Fetal Right Ventricular Diverticulum Detected by Prenatal Ultrasound Screening

Katsura

Hayashi

Tsuji

et al. 2016

Case Reports in Obstetrics and Gynecology

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“…Fetal viral infection and myocardial ischemia have been considered possible etiologies1; however, a review of seven cases by Papagiannis et al did not support these theories 2. Because most cases are asymptomatic, the incidence is unknown; however, congenital ventricular aneurysm is estimated to occur in 0.5 per 100,000 live births 3. Although the distinction between ventricular aneurysm and ventricular diverticulum remains inconsistent, it is important to distinguish the two entities, because the treatment and prognosis can differ.…”

Section: Discussionmentioning

confidence: 99%

“…Although the distinction between ventricular aneurysm and ventricular diverticulum remains inconsistent, it is important to distinguish the two entities, because the treatment and prognosis can differ. The classification criteria include connection to the ventricular cavity, wall composition, wall motion, and association with intracardiac abnormalities or midline defects 3,4,5,6…”

Section: Discussionmentioning

confidence: 99%

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Fetal Diagnosis of Left Ventricular Aneurysm: A Case Report

Giacobbe¹,

Williams²,

Ramin³

et al. 2011

Am J Perinatol Rep

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“…[6] Fetuses with an isolated diverticulum have a good prognosis if the associated complications are treated. [78] Sometimes they have midline anomalies as in pentalogy of Cantrell. Ebstein's anomaly, cardiomyopathy, outflow tract obstruction, and substantial atrioventricular regurgitation may all be confused with a right ventricular diverticulum.…”

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of left ventricular aneurysm

Balakumar¹

2009

Indian J Radiol Imaging

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Fetal cardiac anomalies involving the ventricular and atrial septa, outflow tracts, chambers, and valves are often encountered in routine screening. However, the prenatal detection of a fetal left ventricular aneurysm is rare. This report describes the case of a left ventricular aneurysm that was diagnosed at 24 weeks of gestation; the diagnosis was later confirmed by postnatal echocardiography. This case is reported because of its rarity and the characteristic echocardiographic findings. An early specific antenatal USG diagnosis helps in prognostication and in counseling of the parents.

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Prenatal diagnosis of a right ventricular diverticulum complicated by pericardial effusion in the first trimester

Abstract: ABSTRACT

Cited by 28 publications

References 14 publications

Fetal Right Ventricular Diverticulum Detected by Prenatal Ultrasound Screening

Fetal Right Ventricular Diverticulum Detected by Prenatal Ultrasound Screening

Fetal Diagnosis of Left Ventricular Aneurysm: A Case Report

Prenatal diagnosis of left ventricular aneurysm

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