Prenatal diagnosis and outcome of congenital cardiac diventiculum
10.3760/cma.j.issn.1004-4477.2015.01.005
- VernacularTitle:先天性心脏憩室的产前超声诊断及其临床价值
- Author:
Shi ZENG
;
Qichang ZHOU
;
Jiawei ZHOU
;
Ming ZHANG
;
Qinghai PENG
;
Xing YAN
- Publication Type:Journal Article
- Keywords:
Ultrasonography,prenatal;
Cardiac diventiculum
- From:
Chinese Journal of Ultrasonography
2015;24(1):16-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical outcome and prenatal diagnosis feasibility of fetal congenital cardiac diventiculum.Methods The data of 12 fetuses with congenital cardiac diventiculum were retrospectively reviewed.The prenatal and postnatal medical records,including the characteristics of diverticulum,presence of abnormalities,karyotype and the outcomes of each pregnancy were collected.Results The overall incidence of cardiac diventiculum was 0.03％ (12/40 564) and the rate of incidence between left and right ventricle was 2 ∶ 1.Mean size of diventiculum was (69.75 ± 28.73)mm2,mean diameter of the diventiculum neck was (3.58 ± 0.80) mm and mean thickness of diventiculum wall was (1.54± 0.29)mm.Seven cases (58.4％) as an isolated malformation,5 cases (41.6％) combined with cardiac defect and extracardiac abnormalities,2 cases (16.7 ％) with chromosomal abnormalities.Five cases underwent termination of pregnancy,1 case died in uterus and 6 cases were born live.The mean follow-up periods was (62.33±-36.52)month.Of the 6 follow-up cases,4 cases (66.7％) remained asymptomatic,one case underwent drug therapy because of arrhythmia and one case combined with VSD underwent operation.Conclusions Echocardiography could be an useful tool to demonstrate and monitor congenital cardiac diventiculum prenatally and postnatally.The outcome of cardiac diventiculum depends on the size,progression,and the combined abnormalities and complications.
