Lupoglazoff J M, Ricard G, Luton D, Aujard Y, Magnier S, Azancot A
Service de cardiologie néonatale, hôpital Robert Debré, 48, bd Sérurier, 75019 Paris.
Arch Mal Coeur Vaiss. 2003 May;96(5):529-33.
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.
左心室先天性动脉瘤是一种病因不明的罕见病症，其主要鉴别诊断为憩室。与胎儿超声心动图诊断出的那些类型相反，这种病症在成人和青少年中的自然病史是广为人知的。基于一例产前诊断出的先天性左心室动脉瘤病例并结合文献回顾，作者提出了对产前管理有用的超声心动图预后因素。因此，产前早期诊断、动脉瘤的大小和进展、产前心力衰竭的迹象，都是不良预后因素，在为父母提供咨询时应予以讨论。
