Hornberger L K, Dalvi B, Benacerraf B R
Department of Cardiology, Children's Hospital, Boston, Massachusetts.
J Ultrasound Med. 1994 Dec;13(12):967-70. doi: 10.7863/jum.1994.13.12.967.
We describe three cases of isolated ventricular aneurysm or diverticulum detected antenatally, with subsequent prenatal serial study and postnatal follow-up. Two pregnancies with in utero left ventricular aneurysm, both involving the apex, were referred for fetal atrial arrhythmias at 28 and 25 weeks of gestation, respectively. The aneurysms had a saccular appearance and were thin-walled and hypokinetic. In a third pregnancy, referred for an abnormal four-chamber view, the fetus was found to have a right ventricular aneurysm or diverticulum protruding beneath the tricuspid valve annulus. All three continued to term and at no time demonstrated cardiovascular compromise.
我们描述了3例产前检测出的孤立性心室瘤或憩室病例，并进行了后续的产前系列研究和产后随访。2例妊娠合并子宫内左心室瘤，均累及心尖，分别在妊娠28周和25周时因胎儿房性心律失常转诊。动脉瘤呈囊状，壁薄且运动减弱。在第3例妊娠中，因四腔心切面异常转诊，发现胎儿有一个右心室瘤或憩室，突出于三尖瓣环下方。所有3例均足月分娩，且在任何时候均未出现心血管功能损害。
