Fetal diagnosis of left ventricular aneurysm of the free wall and the interventricular septum: report of two cases and review of the literature

Abstract

Two cases of aneurysmatic bulgings of the free left ventricular wall and the interventricular septum, respectively diagnosed in late third trimester pregnancies are described. The diagnosis was confirmed by meticulous echocardiographic examination of the fetuses, who were referred for dysrhythmia. Based on sonographic findings and analysis of the clinical outcome, our previous cases emphasise management options both antenatally and postnatally. We further reviewed the current literature and discussed differences between aneurysmatic lesions with respect to their specific localisation to enhance our understanding of these fetal cardiac anomalies.

Keywords:

• Ventricular aneurysm
• ultrasound
• fetal heart
• prenatal

Acknowledgements

The authors thank Dr. A. Luyten for his support.