Document Detail

Fetal echocardiographic signs of congenital endocardial fibroelastosis.
MedLine Citation:
PMID:  2969084     Owner:  NLM     Status:  MEDLINE    
Endocardial fibroelastosis is characterized by a porcelain-like thickening of the endocardium, resulting in a marked increase in echodensity of the endocardium, as well as ventricular dilatation and aortic atresia. With improvement in prenatal ultrasound, this condition can be suspected in utero on the basis of ventricular enlargement, poor ventricular contractility, and marked echodensity of the endocardial surface. We present two cases in which such conditions were found on prenatal M-mode echocardiography and two-dimensional directed pulsed Doppler. Ventriculomegaly and hypocontractility of the ventricle are, however, nonspecific for such conditions; the diagnosis can be made accurately only by pathology. When such findings appear on ultrasound, all efforts should be made to deliver the patient in a perinatal center for optimal neonatal surgery to improve the survival of the newborn.
J C Veille; M Sivakoff
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  72     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-08-17     Completed Date:  1988-08-17     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  219-22     Citation Subset:  AIM; IM    
Department of Reproductive Biology, Case Western Reserve University, Cleveland, Ohio.
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MeSH Terms
Cardiomegaly / complications,  diagnosis*
Endocardial Fibroelastosis / congenital*,  diagnosis,  etiology,  pathology
Fetal Diseases / diagnosis*,  etiology,  pathology
Infant, Newborn
Myocardial Contraction

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