Right Ventricular Outpouching Associated With a Ventricular Septal Defect: Case Report

Olorón, Patricia Martínez; Ibarra, Carlos Romero; Miranda, José Miguel Galdeano

doi:10.1007/s00246-011-0059-9

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…Usually associated extracardiac malformations include midline thoracoabdominal defects (omphalocele, ectopia cordis, Pentalogy of Cantrell, etc.) [ 2 , 5 , 8 , 20 – 22 ].…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Cardiac Diverticulum with Pericardial Effusion in the First Trimester of Pregnancy with Resolution after Early Pericardiocentesis

Rodríguez

Guedes

Delgado

et al. 2015

Case Reports in Obstetrics and Gynecology

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Cardiac diverticulum is a rare anomaly, which may present in association with pericardial effusion. Only few cases diagnosed during fetal life have been published and only in 12 cases pericardiocentesis was made with good postnatal outcomes in 83% of the cases. In the first trimester of pregnancy only 6 cases were reported. We described the largest series of cases published. We describe a case of cardiac diverticulum complicated with pericardial effusion during the first trimester of pregnancy and resolved by intrauterine pericardiocentesis at 17 weeks of pregnancy. We made a systematic review of the literature with the cases reported of cardiac diverticulum, management, and outcomes.

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“…Usually associated extracardiac malformations include midline thoracoabdominal defects (omphalocele, ectopia cordis, Pentalogy of Cantrell, etc.) [ 2 , 5 , 8 , 20 – 22 ].…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Cardiac Diverticulum with Pericardial Effusion in the First Trimester of Pregnancy with Resolution after Early Pericardiocentesis

Rodríguez

Guedes

Delgado

et al. 2015

Case Reports in Obstetrics and Gynecology

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show abstract

“…In our case, the abnormal heart chamber was diagnosed prenatally as a ventricular diverticulum by confirming that the wall had normal contraction on M-mode ultrasound, which was later confirmed by postnatal computed tomography. Demir et al [18] and Olorón et al [19] also evaluated wall contractility using M-mode ultrasound, supporting the use of this method for distinguishing between these disorders. In addition, because muscular diverticulum has normal contractions, color Doppler ultrasound can detect blood flow from the diverticulum to the heart ventricle for diastole of the heart and from the heart to the diverticulum for systole.…”

Section: Discussionmentioning

confidence: 93%

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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Anterosuperior Diverticula of the Right Ventricle: Morphological Spectrum and Long-Term Outcome of a Distinct Cardiac Anomaly

et al. 2014

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Right-ventricular diverticula (RVD), although rare, have particular characteristics. Our study describes the morphology of anterosuperior diverticula of the right ventricle (RV) and patient outcome for this anomaly. Retrospective analysis was performed on all patients with anterosuperior RVD diagnosed in two tertiary referral centres. From January 1982 to December 2012, five patients were diagnosed with anterosuperior RVD (median 4 months). Four patients had perimembranous ventricular septal defects (VSDs) with no clinical symptoms related to RVD. Communication of the RVD with the RV was located either close to the VSD (two patients) or in the anterior free wall of the RV opposite the VSD (two patients). In the remaining patient, the diverticulum was connected with the left ventricle (LV) by a tunnel-like structure originating from the left-ventricular outflow tract; the RVD communicated with the RV by way of a restrictive opening. Four patients underwent surgical repair including patch closure of the VSD (one patient) and patch closure of the VSD through an incision of the RVD followed by plication of the diverticulum or closure of its communication with the RV (three patients). All patients remained asymptomatic during a median follow-up of 14.8 years. Anterosuperior RVD is a specific congenital cardiovascular anomaly frequently associated with additional congenital heart disease. There are significant variations in how the RVD communicates with the RV with each requiring a different surgical repair strategy. According to the experience in our small cohort, the long-term prognosis of patients with anterosuperior RVD appears excellent after surgical correction of associated congenital heart disease.

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Right Ventricular Outpouching Associated With a Ventricular Septal Defect: Case Report

Cited by 6 publications

References 5 publications

Prenatal Diagnosis of Cardiac Diverticulum with Pericardial Effusion in the First Trimester of Pregnancy with Resolution after Early Pericardiocentesis

Prenatal Diagnosis of Cardiac Diverticulum with Pericardial Effusion in the First Trimester of Pregnancy with Resolution after Early Pericardiocentesis

Fetal Right Ventricular Diverticulum Detected by Prenatal Ultrasound Screening

Anterosuperior Diverticula of the Right Ventricle: Morphological Spectrum and Long-Term Outcome of a Distinct Cardiac Anomaly

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