Johnson J A, Ryan G, Toi A, Smallhorn J
Fetal Diagnosis and Treatment Centre, University of Toronto, Ontario, Canada.
Prenat Diagn. 1996 Oct;16(10):954-7. doi: 10.1002/(SICI)1097-0223(199610)16:10<954::AID-PD981>3.0.CO;2-X.
Congenital cardiac diverticula are rare abnormalities that may occur as isolated malformations. In this report, we describe a case of an isolated congenital cardiac diverticulum complicated by a large serous pericardial effusion diagnosed ultrasonographically at 19 weeks' gestation. Therapeutic pericardiocentesis at 20 weeks' gestation resulted in complete resolution of the effusion with a normal fetal outcome. There is only one previous report of a prenatal diagnosis of a cardiac diverticulum complicated by a pericardial effusion and that patient underwent termination of pregnancy (Carles et al., 1995). Given the otherwise favourable prognosis for this lesion, and the excellent response in this case, pericardiocentesis should be considered in similar cases.
先天性心脏憩室是罕见的异常情况，可能作为孤立的畸形出现。在本报告中，我们描述了一例孤立性先天性心脏憩室病例，该病例在妊娠19周时经超声诊断并发大量浆液性心包积液。妊娠20周时进行治疗性心包穿刺术，积液完全消退，胎儿结局正常。此前仅有一篇关于产前诊断心脏憩室并发心包积液的报告，该患者接受了终止妊娠（Carles等人，1995年）。鉴于该病变预后良好，且本病例反应良好，类似病例应考虑进行心包穿刺术。
