Open Access

CASE REPORT

Prenatal Diagnosis of an Apically Located Congenital Left Ventricular Aneurysm: A Rare Case

Yücel Kaya^1,*, And Yavuz¹, Hasan Berkan Sayal¹, Büşra Tsakir¹, Gökalp Kabacaoğlu¹, Kadriye Nilay Özcan²

1 Department of Perinatology, Antalya Education and Research Hospital, University of Health Sciences, Antalya, Turkey
2 Department of Perinatology, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey

* Corresponding Author: Yücel Kaya. Email:

Congenital Heart Disease 2024, 19(1), 123-129. https://doi.org/10.32604/chd.2024.048145

Received 29 November 2023; Accepted 07 February 2024; Issue published 20 March 2024

Abstract

Congenital ventricular aneurysm is a very rare cardiac anomaly. A diagnosis can be made during the prenatal period using fetal echocardiography. This study presents a very rare apically located left ventricular aneurysm case, and the relevant literature was reviewed and discussed. In this case, a 35-year-old, gravida 2, parity 1 pregnant woman at 24 weeks of gestation, displayed a wide aneurysmal image in the left ventricular apical wall on fetal echocardiography. There was a 1.79 mm muscular ventricular septal defect at the apical region of the interventricular septum. In the course of the color Doppler ultrasonography examination, an aberrant fibrous band within the left ventricle and consequent turbulent flow during systole were observed. The baby, born via cesarean section at 37 weeks of gestation, is now in its postnatal seventh month. However, during echocardiographic follow-ups, changes have been observed, including mild to moderate mitral insufficiency and a decrease in systolic function. Despite these findings, the clinical condition remains asymptomatic. It is of great importance to use a multidisciplinary approach in managing these rare cases that could lead to potential adverse outcomes during the antenatal or postnatal periods.

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Keywords

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