Prenatal diagnosis of fetal right congenital ventricular aneurysms: An analysis of three cases and literature review.

Published on Apr 22, 2021in Journal of Clinical Ultrasound0.764
· DOI :10.1002/JCU.23016
Right ventricular aneurysm is a rare congenital defect that can be diagnosed with fetal echocardiography. Information on etiology of right ventricular aneurysm is limited and its prognosis remains variable from asymptomatic forms to severe cases. Here we report three cases of fetal right ventricular aneurysms that could have been related to coronary artery disorders and needed regular monitoring of progression in size and signs of cardiac decompensation.
Abstract Congenital ventricular aneurysms and diverticula are rare congenital heart diseases, currently accessible to prenatal diagnosis. Information on the natural course of ventricular aneurysm or diverticulum detected during fetal life is limited as there are only few case reports and case series enumerating the defect. We aimed to describe through three cases, the prenatal features and clinical outcomes of fetal cardiac aneurysms. The first one was diagnosed during the second trimester and s...
2 CitationsSource
AbstractAim: To describe the ultrasonographic appearance of fetal ventricular aneurysm.Methods: Ultrasound characteristics of two cases of prenatally diagnosed fetal ventricular aneurysm were reviewed.Results: There was one case of left ventricular aneurysm diagnosed by prenatal ultrasound at 38 weeks of gestation. Another case of fetal right ventricular aneurysm was diagnosed prenatally at 36 weeks of gestation. Both the babies expired in the immediate post-natal period.Conclusion: Congenital v...
3 CitationsSource
1 CitationsSource
#2Jacek WięcekH-Index: 1
Last. Maria Respondek-LiberskaH-Index: 14
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Abstract Background Congenital left ventricular aneurysm (LVA) or diverticulum (LVD) is rare cardiac anomalies. We aimed to analyse the clinical characteristics and outcome in all ever published patients. Methods MEDLINE, Web of science, Google and EMBASE, and reference lists of relevant articles were searched for publications reporting on LVA or LVD patients. Results We identified 809 patients published since 1816 [354 (49.1%) LVA, 453 (50.6%) LVD, 2 (0.3%) both]. Mean age at diagnosis was 34.1...
48 CitationsSource
Uhl’s anomaly is an evolutive disease leading to terminal right ventricular failure. The most difficult differential diagnosis at presentation is the Ebstein disease. We describe the evolution of a foetus with Uhl’s anomaly from 21 to 30 weeks of gestation, with progressive reduction in the right ventricular anterior myocardium suggestive of apoptosis, leading to foetal demise.
3 CitationsSource
#1Jack RychikH-Index: 1
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#1Jan WeichertH-Index: 13
#2Andreea ChiriacH-Index: 2
Last. Roland Axt-Fliedner (University of Giessen)H-Index: 21
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Two cases of aneurysmatic bulgings of the free left ventricular wall and the interventricular septum, respectively diagnosed in late third trimester pregnancies are described. The diagnosis was confirmed by meticulous echocardiographic examination of the fetuses, who were referred for dysrhythmia. Based on sonographic findings and analysis of the clinical outcome, our previous cases emphasise management options both antenatally and postnatally. We further reviewed the current literature and disc...
7 CitationsSource
Left ventricular outpouchings are increasingly detected on cardiovascular imaging. Herein, we describe the case of a 45-year-old man who underwent noncardiac preoperative imaging and was found to have an asymptomatic left ventricular outpouching. The patient underwent successful surgical repair of the structure. When left ventricular outpouchings are detected, the main differential diagnoses are pseudoaneurysm, aneurysm, and diverticulum. The outcomes for these conditions differ substantially, a...
40 Citations
#1Jennifer Williams (UM: University of Michigan)H-Index: 7
#2Kelly R. Collardey (UM: University of Michigan)H-Index: 1
Last. Sonal T. Owens (UM: University of Michigan)H-Index: 8
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Congenital right ventricular aneurysms and right ventricular diverticula are rare forms of congenital heart disease for which little information exists regarding optimal management, natural history, or prognosis. With advancements in prenatal cardiac evaluation and ultrasound, the reported frequency of these lesions, as well as a better understanding of the natural history of this form of congenital heart disease, is likely to evolve. We present three cases of fetal right ventricular aneurysms/d...
19 CitationsSource
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