Journal of Ultrasound in Medicine, Vol 13, Issue 12 967-970, Copyright © 1994 by American Institute of Ultrasound in Medicine
Prenatal sonographic detection of cardiac aneurysms and diverticula
L. K. Hornberger, B. Dalvi and B. R. Benacerraf
Department of Cardiology, Children's Hospital, Boston, Massachusetts.
We describe three cases of isolated ventricular aneurysm or diverticulum
detected antenatally, with subsequent prenatal serial study and postnatal
follow-up. Two pregnancies with in utero left ventricular aneurysm, both
involving the apex, were referred for fetal atrial arrhythmias at 28 and 25
weeks of gestation, respectively. The aneurysms had a saccular appearance
and were thin-walled and hypokinetic. In a third pregnancy, referred for an
abnormal four-chamber view, the fetus was found to have a right ventricular
aneurysm or diverticulum protruding beneath the tricuspid valve annulus.
All three continued to term and at no time demonstrated cardiovascular
compromise.