Prenatal diagnosis of left ventricular diverticulum and coarctation of the aorta

L. E. Hunter*, K. Pushparajah, O. Miller, D. Anderson, J. M. Simpson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Congenital left ventricular diverticulum (LVD) is a rare abnormality of the myocardium which has been detected previously in the fetus. Lesions have been reported from as early as 12 weeks' gestation but are more commonly detected in the mid-second trimester. Fetal presentation of LVD ranges from an abnormal four-chamber view of the heart, arrhythmia or isolated pericardial effusion to fetal hydrops with associated heart failure. Here, we describe the prenatal diagnosis of an infant with LVD originating from the left ventricular outflow tract associated with coarctation of the aorta. The diagnosis was confirmed postnatally by two-dimensional echocardiography and cardiac magnetic resonance imaging. We hypothesize that the lesion compromised antegrade flow into the transverse aortic arch, which may have contributed to underdevelopment of the aortic arch and subsequently the development of coarctation of the aorta. This is a unique case of LVD and coarctation of the aorta.

Original languageEnglish
Pages (from-to)236-238
Number of pages3
JournalUltrasound in Obstetrics and Gynecology
Volume47
Issue number2
DOIs
Publication statusPublished - 1 Feb 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2015 ISUOG. Published by John Wiley & Sons Ltd.

Keywords

  • coarctation of the aorta
  • congenital heart disease
  • diverticulum
  • effusion
  • fetal echocardiography
  • pericardial

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