Demir Fadli, Ozbarlas Nazan, Gocen Uğur, Buyukkurt Selim
Department of Pediatric Cardiology, Çukurova University School of Medicine, Adana, Turkey.
Echocardiography. 2015 Feb;32(2):395-7. doi: 10.1111/echo.12781. Epub 2014 Oct 7.
The distinction between a ventricular aneurysm and diverticulum is difficult. The differences between these two are based on anatomical, histological, and functional criteria. We present a case of prenatal diagnosis of a giant left ventricular outpouching at 28 weeks gestation. During the postnatal period, the neonate underwent surgical correction for the outpouching. Histopathological examination reported the resected segment was a cardiac diverticulum. Our case indicates that differentiating between the two diagnoses during the intrauterine period is not always straightforward and possible. Histopathological examinations are sometimes necessary to make a precise differentiation. Treatment should be individualized depending on the clinical presentation.
区分心室壁瘤和憩室很困难。这两者之间的差异基于解剖学、组织学和功能标准。我们报告一例妊娠28周时产前诊断出巨大左心室膨出的病例。产后，该新生儿接受了膨出修补手术。组织病理学检查报告切除的部分为心脏憩室。我们的病例表明，在宫内时期区分这两种诊断并非总是简单可行的。有时需要进行组织病理学检查才能做出精确区分。治疗应根据临床表现个体化。
