Fetal left ventricular diverticulum presenting as dysrhythmia: diagnosis and management.
Congenital diverticulum of the left ventricle is a malformation, often associated with midline thoraco-abdominal defects. Here we describe a case of isolated congenital left ventricular diverticulum that presented with an abnormal four-chamber view and fetal dysrhythmia on ultrasonography. Maternal digoxin therapy was started due to significant ventricular ectopy. Restoration of fetal sinus rhythm was achieved within 48 h. Serial fetal echocardiograms were performed every week, followed by a normal vaginal delivery at term. The child is surviving at 1 year of age.
Pradhan
Mandakini
M
Department of Medical Genetics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. mandakini@sgpgi.ac.in
Dalal
Ashwin
A
Kapoor
Aditya
A
Kumar
Sudeep
S
Manisha
R
R
D000328:Adult; D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004077:Digoxin / Q000627:therapeutic use; D019468:Disease Management; D004240:Diverticulum / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000188:drug therapy; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000188:drug therapy; D006352:Heart Ventricles / Q000002:abnormalities; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D016216:Ultrasonography, Prenatal / Q000379:methods
D004077:Digoxin