Document Detail


Prenatal diagnosis of left ventricular aneurysm: a report of three cases and a review.
MedLine Citation:
PMID:  10323516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
A Matias; C Fredouille; C Nesmann; A Azancot
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiology in the young     Volume:  9     ISSN:  1047-9511     ISO Abbreviation:  Cardiol Young     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-07-06     Completed Date:  1999-07-06     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  175-84     Citation Subset:  IM    
Affiliation:
Department of Developmental Pathology, Hospital Robert Debre, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
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:
Cardiol Young. 1999 Mar;9(2):123-6   [PMID:  10323507 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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