Culprit or Companion-Foetal Right Ventricular Diverticulum: Role of M-mode Echocardiography in Distinguishing it from Ventricular Aneurysm
Published: January 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/31277.11031
Ashwal Adamane Jayaram, Krishnanand Nayak, Abdul Razak, R Padmakumar, Umesh Pai
1. Associate Professor, Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
2. Assistant Professor, Department of Cardiovascular Technology, School of Allied Health Science (SOAHS), Manipal Academy of Higher Education, Manipal, Karnataka,
India.
3. Assistant Professor, Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
4. Professor, Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
5. Assistant Professor, Department of Cardiovascular Technology, School of Allied Health Science (SOAHS), Manipal Academy of Higher Education, Manipal, Karnataka,
India.
Correspondence
Dr. Ashwal Adamane Jayaram,
Associate Professor, Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education,
Manipal-576104, Karnataka, India.
E-mail: dr.ashwal@gmail.com
Congenital ventricular diverticula and aneurysms are very rare. Prenatal diagnosis of such cases is reported only by few authors. Differentiating these two entities by echocardiography alone is very difficult. We present a case of prenatally diagnosed right ventricular diverticulum at 33 weeks of gestation. She was 37-year-old and primigravida with no past medical history. She underwent a routine prenatal scanning and was suspected to have a foetal cardiac abnormality and referred to us. It was diagnosed as foetal right ventricular diverticulum with the help of Motion-mode (M-mode) echocardiogram and was advised follow up after delivery. One of the differential diagnosis is ventricular aneurysm. Unfortunately, she had a miscarriage at 36 weeks due to unknown cause.
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