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

Koshiishi, Taro; Osada, H.; Hata, Akito; Furugen, Y.; Murakoshi, Takeshi; Mitsuhashi, Norio

doi:10.1002/pd.1833

Cited by 18 publications

(17 citation statements)

References 10 publications

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“…A good prognosis is found where there is an isolated diverticulum with no evidence of or only mild pericardial effusion, especially if the diverticulum/ventricle area ratio is small and does not increase during the course of gestation [13] . Cases associated with dysrhythmia also appear to have a good outcome [14][15][16] .…”

Section: Discussionmentioning

confidence: 99%

Successful Outcome after Prenatal Treatment of a Cardiac Diverticulum with Massive Pericardial Effusion

et al. 2009

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Congenital ventricular cardiac diverticula are rare. They may occur prenatally in association with a pericardial effusion which, if large enough, can compromise fetal circulatory and lung development. Parental counseling is difficult because some cases resolve in the second trimester and others progress to worsening hydrops and intrauterine death. We present a case associated with a massive pericardial effusion that had a good outcome after successful pericardiocentesis relatively late in gestation considering the time of critical pulmonary development. We also review similar cases presented in the literature and discuss management options.

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Section: Discussionmentioning

confidence: 99%

Successful Outcome after Prenatal Treatment of a Cardiac Diverticulum with Massive Pericardial Effusion

et al. 2009

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“…Previously, Koshiishi [4] reported a review of 35 cases of congenital cardiac aneurysm or diverticulum. Left ventricular aneurysm was reported to be the most frequently encountered, and to have a better prognosis than the other types.…”

Section: Discussionmentioning

confidence: 98%

“…We report a case of left ventricular aneurysm studied using the velocity vector imaging (VVI) technique. Although a few cases of congenital left ventricular aneurysm have been described [1,4], this is the first report describing use of the VVI technique to evaluate congenital cardiac malformation.…”

Section: Introductionmentioning

confidence: 94%

Evaluation of congenital left ventricular aneurysm in the fetus by velocity vector imaging

et al. 2009

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We report a case of left ventricular aneurysm evaluated using the velocity vector imaging (VVI) technique, an angle-independent method used to calculate the tissue velocity strain and strain rate on routine gray scale two-dimensional images and display the velocities of endocardial points as vectors overlaid on B-mode images. It uses a combination of speckle tracking and complex geometric analysis, allowing tracing of myocardial activity throughout the cardiac cycle. In this case, evaluation of the myocardial dynamics in the fetus by VVI was started at 27 weeks of gestation, and both the systolic and diastolic velocities and the ejection fraction in the aneurysmal segment were less than in the other segments. VVI imaging at 35 weeks of gestation showed this difference even more clearly. Postnatal VVI examination showed no significant difference between results for the systolic and diastolic velocities or ejection fraction and those obtained at the prenatal VVI examination. VVI seemed to be as useful at this time, especially for assessing ventricular systolic function, as it was for postnatal examination.

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“…The first case in history was described in 1838 by O'Bryan [2] in a patient affected by Ectopia cordis. Right ventricular outpouches are less common than those arising from the left ventricle, but both can be associated with other cardiac malformations [3], the most common of which appears to be conotruncal malformations followed by isolated ventricular septal defects [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…They may occur as a result of focal weakening of the ventricular wall due to an interruption during embryogenesis, infection or localized ischemia of the ventricular wall due to stenosis, hypoplasia or intimal proliferation of the coronary arteries. In some cases, abnormal development of the microvasculature, involving terminal branches of the coronary artery leading to early ischemic changes in the papillary muscle, has been suggested as the etiology [4]. The isolated form can be discovered as a subsequent finding to arrhythmia, congestive cardiac failure, chest pain or tamponade due to acute rupture, and even sudden death but, in the majority of cases, congenital…”

Section: Introductionmentioning

confidence: 99%

Fetal Right Ventricular Diverticulum with Pericardial Effusion: To Drain or Not To Drain?

Caldaroni¹,

Rose²,

Caiaro³

et al. 2014

JPNC

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

Cited by 18 publications

References 10 publications

Successful Outcome after Prenatal Treatment of a Cardiac Diverticulum with Massive Pericardial Effusion

Successful Outcome after Prenatal Treatment of a Cardiac Diverticulum with Massive Pericardial Effusion

Evaluation of congenital left ventricular aneurysm in the fetus by velocity vector imaging

Fetal Right Ventricular Diverticulum with Pericardial Effusion: To Drain or Not To Drain?

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