Document Detail

Early sonographic diagnosis of fetal small left heart ventricle with a normal proximal outlet tract: a medical dilemma.
MedLine Citation:
PMID:  9110369     Owner:  NLM     Status:  MEDLINE    
A small left heart ventricle with a normal outflow tract was detected by transvaginal ultrasound in 16 fetuses at 14-16 weeks' gestation. A high incidence of associated anomalies was found in these fetuses, namely coarctation of the aorta (5), abnormal karyotype (4), cystic hygroma (4), and ventricular septal defect (3). The incidence of extracardiac anomalies was probably even higher, since post-mortem and karyotype examinations were not performed in all cases of termination of pregnancy. In patients who decided to continue the pregnancy (7), a normal left ventricle was observed in four cases on follow-up scans. Three of these neonates were normal after delivery and one had several cardiovascular anomalies. Out of three fetuses with asymmetric ventricles on follow-up scan, one infant had a normal outcome. The high incidence of associated fetal anomalies in cases of a small left ventricle raises a medical dilemma in counselling the parents.
M Bronshtein; E Z Zimmer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Prenatal diagnosis     Volume:  17     ISSN:  0197-3851     ISO Abbreviation:  Prenat. Diagn.     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-07-22     Completed Date:  1997-07-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  249-53     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Rambam Medical Center, Technion Faculty of Medicine, Haifa, Israel.
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MeSH Terms
Fetal Heart / abnormalities*,  pathology,  ultrasonography
Follow-Up Studies
Heart Ventricles / abnormalities,  embryology,  ultrasonography
Pregnancy Outcome
Pregnancy Trimester, Second
Ultrasonography, Prenatal*

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