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[Antenatal diagnosis of congenital left ventricular aneurysm]
J M Lupoglazoff1, G Ricard, D Luton
1Service de cardiologie néonatale, hôpital Robert Debré, 48, bd Sérurier, 75019 Paris. jean-marc.lupoglazof@rdb.ap-hop-paris.fr
Insights
Congenital left ventricular aneurysm, a rare prenatal condition, requires early diagnosis. Echocardiographic factors like size and cardiac failure signs indicate poor prognosis, guiding prenatal management and parent counseling.
Area of Science:
- Cardiology
- Fetal Medicine
- Pediatric Cardiology
Background:
- Congenital left ventricular aneurysm is a rare condition with unknown etiology.
- Differential diagnosis includes left ventricular diverticulum.
- Natural history is understood in adults but not in fetuses diagnosed via echocardiography.
Observation:
- This study presents a case of antenatally diagnosed CLVA.
- A literature review was conducted to identify prognostic indicators for fetal CLVA.
- Echocardiography is the primary tool for prenatal diagnosis and monitoring.
Findings:
- Early antenatal diagnosis of CLVA is associated with poorer outcomes.
- Aneurysm size and progression during gestation are significant prognostic factors.
- Presence of fetal cardiac failure indicates a poor prognosis.
Implications:
- Prenatal identification of prognostic factors is vital for effective management of CLVA.
- These findings aid in counseling parents regarding the risks and potential outcomes.
- Further research into the etiology and long-term management of fetal CLVA is warranted.
Abstract:
Congenital aneurysm of the left ventricle is a rare condition of unknown origin, the main differential diagnosis of which is the diverticulum. The natural history of this pathology is well known in adults and adolescents, contrary to those forms diagnosed by foetal echocardiography. Based on a case of congenital left ventricular aneurysm diagnosed ante-natally and a review of the literature, the authors propose echocardiographic prognostic factors useful for prenatal management. Thus, early antenatal diagnosis, size and progression of the aneurysm, signs of antenatal cardiac failure, are poor prognostic factors and should be discussed during parent counselling.