Fetal diagnosis of right cardiac ventricular aneurysms: A report of three cases

Athiel, Yoann; Barrois, M.; Bault, Jean-Philippe; Cohen, Laurence; Leroy, Brigitte; Quibel, Thibaud

doi:10.1016/j.jogoh.2018.06.004

Cited by 4 publications

(6 citation statements)

References 9 publications

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“…In our series, large first‐trimester pericardial effusion (Figure 1) decreased spontaneously during pregnancy and eventually disappeared in all cases, not allowing in most cases US visualization of the diverticulum itself during the third trimester. These findings are consistent with previous case reports regardless of the final diagnosis of VD or VA 3‐8 …”

Section: Discussionsupporting

confidence: 93%

“…Interestingly, cases of intrauterine fetal demise and termination of pregnancy have been largely described. 4,10,18,21,22 In the series by Ohlow et al 2 , the outcome differed depending on the diagnosis: 40% of pediatric events were found in the aneurysm group, including neonatal death, myocarditis, surgery or embolism (vs. 0% in the diverticulum group, p = 0.04 95% confidence interval (1.13-30)).…”

Section: Discussionmentioning

confidence: 99%

“…We observed good outcomes for all patients regardless of the final diagnosis. Interestingly, cases of intrauterine fetal demise and termination of pregnancy have been largely described 4,10,18,21,22 . In the series by Ohlow et al 2 ,.…”

Section: Discussionmentioning

confidence: 99%

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Prenatal diagnosis of congenital ventricular aneurysm and diverticulum: Prenatal features and perinatal management

et al. 2022

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Congenital ventricular diverticulum (VD) and aneurysm are rare cardiac developmental anomalies and their pathophysiology is still unclear. They present as an anomaly of the four chambers view, cardiomegaly, arrhythmia, pericardial effusion, or hydrops. They are usually isolated anomalies. Differential diagnosis between diverticulum and aneurysm is challenging during the prenatal period. Management policy is not uniform either conservative or repeated pericardial puncture. Objective We wanted to describe prenatal features and post‐natal outcomes of fetal cardiac out pouching. Methods We retrospectively report 6 cases of VD and aneurysm prenatally managed in our fetal medicine unit between 2010 and 2020. All cases were evaluated from the first or second trimester of pregnancy until postnatal follow‐up (3 months to 3 years). Results All six cases underwent a monthly ultrasound follow‐up with spontaneous regression of pericardial effusion, and normal hemodynamics at birth No pericardial puncture was done and postnatal outcome was favorable in all cases. Conclusion Based on our experience and on cases previously published, prenatal counseling should be prudent regarding the final diagnosis. Referral and monthly prenatal ultrasound follow‐up, birth in a tertiary center after multidisciplinary evaluation and cardiological evaluation at birth still seem mandatory.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Prenatal diagnosis of congenital ventricular aneurysm and diverticulum: Prenatal features and perinatal management

et al. 2022

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“…Among the remaining 70% live births, 10% resulted in neonatal death. The reported complications include PE, heart failure, and arrhythmia . In our study, no intrauterine fetal death was recorded, probably because of the high rate of TOP.…”

Section: Discussionmentioning

confidence: 49%

Autopsy and postnatal follow‐up of prenatally diagnosed ventricular outpouchings

et al. 2020

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Objectives: Prenatal ventricular outpouchings (VOs), which include congenital ventricular aneurysms (CAs) and congenital ventricular diverticula (CD), are very rare. We describe the features and outcomes of prenatal VOs diagnosed over a 4-year period.Methods: Retrospective cohort study of cases of prenatal diagnoses of CAs and CD at our center between June 2014 and January 2018. The prenatal and postnatal echocardiogram data were reviewed, and telephone follow-up was conducted of liveborn cases.Results: A total of 25 VOs were identified. Two were lost to follow-up, 15 chose termination of pregnancy, and eight resulted in livebirths. Only two cases underwent autopsy: Histopathology showed that the CA wall was substituted by collagen fibers. At follow-up, none of the eight liveborn babies experienced adverse events, and three VOs near the tricuspid annulus almost disappeared, though one was extremely large. Conclusions:In our center, all liveborn babies with VO had good prognoses. We hypothesize that VOs located near the right ventricular annulus may be caused by prenatally unbalanced pressure, given their decrease in size after birth when the right heart pressure declines.

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“…6,12 Athiel et al reported three cases of VA and reviewed a few reports of prenatal VA of which the prognosis depended on early detection, relative size of ventricle, progression rate, and pericardial effusion. 13 In our series, the second case was a right VA diagnosed at 24 weeks of gestation, and the baby remained asymptomatic at 18 months of postnatal follow-up. Płuża nska et al 14 presented a series of eight cases of congenital anomalies of heart walls, and all of them had no clinical symptoms and good outcome at long term follow-up.…”

Section: Discussionmentioning

confidence: 56%

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

Zhong¹,

Song²,

Zhang³

et al. 2021

J of Clinical Ultrasound

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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.

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Fetal diagnosis of right cardiac ventricular aneurysms: A report of three cases

Cited by 4 publications

References 9 publications

Prenatal diagnosis of congenital ventricular aneurysm and diverticulum: Prenatal features and perinatal management

Prenatal diagnosis of congenital ventricular aneurysm and diverticulum: Prenatal features and perinatal management

Autopsy and postnatal follow‐up of prenatally diagnosed ventricular outpouchings

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

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