| Prenatal diagnosis of left ventricular aneurysm: a report of three cases and a review. | |
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MedLine Citation:
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PMID: 10323516 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report three cases of left ventricular aneurysm diagnosed prenatally and followed by fetal Doppler echocardiography. A review of the literature reveals a paucity of information about this rare cardiac malformation. Most of the described cases (6 out of 9) have remained asymptomatic during pregnancy and after birth. Our cases, in contrast, and three others in the literature, had an ominous prognosis presenting cardiac failure initially or during follow up and showing a dynamic evolution of the aneurysm. Cross-sectional echocardiography provides the diagnosis, revealing the thin-walled aneurysm, usually apical, to be connected by a broad neck to the left ventricle. Color and pulsed Doppler shows low velocity and to-and-fro flow in the aneurysm. Sequential fetal Doppler echocardiography detects the potential growth of the aneurysm relative to ventricular size, revealing any compromise of cardiac performance by a decreased mitral opening, reversed atrial shunting, a hypokinetic infero-posterior left ventricular wall, and a poor systolic thickening of the wall of the aneurysm. Compromise of cardiac function, and deleterious impact on development of the lungs during fetal life, may depend on the early onset, growth and location of the aneurysm,which may occupy most of the fetal chest. We discuss issues of prenatal diagnosis, sequential surveillance of the natural history, and factors of prognosis as well as myocardial histological data from one of our cases. |
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Authors:
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A Matias; C Fredouille; C Nesmann; A Azancot |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Cardiology in the young Volume: 9 ISSN: 1047-9511 ISO Abbreviation: Cardiol Young Publication Date: 1999 Mar |
Date Detail:
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Created Date: 1999-07-06 Completed Date: 1999-07-06 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9200019 Medline TA: Cardiol Young Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 175-84 Citation Subset: IM |
Affiliation:
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Department of Developmental Pathology, Hospital Robert Debre, Paris, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Echocardiography, Doppler Female Fetal Death* Fetal Diseases / mortality, pathology, ultrasonography* Gestational Age Heart Aneurysm / mortality, pathology, ultrasonography* Heart Ventricles Humans Pregnancy Pregnancy Complications, Cardiovascular / ultrasonography* Pregnancy Outcome* Survival Rate Ultrasonography, Prenatal / methods* |
| Comments/Corrections | |
Comment In:
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Cardiol Young. 1999 Mar;9(2):123-6
[PMID:
10323507
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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