Abstract
Right ventricular diverticulum associated with pericardial effusion was diagnosed in a male fetus at 13 weeks of gestation. Screening for infectious, chromosomal, or structural disease was negative. Because there was concern about pulmonary hypoplasia, fetal pericardiocentesis was performed at 17 weeks of gestation. The pericardial fluid did not reaccumulate, and the diverticulum decreased and finally disappeared before the third trimester. The diverticulum could not be seen on the neonatal echocardiography scan performed on the full-term live baby, who was delivered vaginally. The child is doing well at 11 months of age. Given the good outcome of this case, in utero drainage should be considered in similar cases.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Carles D, Maugey-Laulom B, Habboud H, Alberti EM, Weichhold W, Leger F (1995) Early prenatal diagnosis of ventricular diverticulum complicated by serous pericardial effusion. Prenat Diagn 15:778–780
Cesko I, Hajdu J, Csapo ZD, Toth T, Sipos B, Papp Z (1998) Fetal hydropericardium associated with left ventricular diverticulum. Prenat Diagn 18:721–744
Conway J, Hancock Friesen C, Thompson D, Warren AE (2008) Fetal diagnosis of an “extra cardiac chamber”. Pediatr Cardiol 29:188–190
Davidson A, Whiteman V, Gaynor JW (2006) Images in cardiovascular medicine. Fetal cardiac diverticulum. Circulation 113:e56
Del Rio M, Martinez JM, Bennasar M, Palacio M, Figueras F, Puerto B et al (2005) Prenatal diagnosis of a right ventricular diverticulum complicated by pericardial effusion in the first trimester. Ultrasound Obstet Gynecol 25:409–411
Koshiishi T, Osada H, Hata A, Furugen Y, Murakoshi T, Mitsuhashi N (2007) Prenatal rupture of right ventricular diverticulum: a case report and review of the literature. Prenat Diagn 27:1154–1157
Marijon E, Ou P, Fermont L, Concordet S, Le Bidois J, Sidi D et al (2006) Diagnosis and outcome in congenital ventricular diverticulum and aneurysm. J Thorac Cardiovasc Surg 131:433–437
McAuliffe FM, Hornberger LK, Johnson J, Chitayat D, Ryan G (2005) Cardiac diverticulum with pericardial effusion: report of two new cases treated by in utero pericardiocentesis and a review of the literature. Ultrasound Obstet Gynecol 25:401–404
Prefumo F, Bhide A, Thilaganathan B, Carvalho JS (2005) Fetal congenital cardiac diverticulum with pericardial effusion: two cases with different presentations in the first trimester of pregnancy. Ultrasound Obstet Gynecol 25:405–408
Sharland G, Lockhart S (1995) Isolated pericardial effusion: an indication for fetal karyotyping? Ultrasound Obstet Gynecol 6:29–32
Acknowledgments
Special thanks to S. Vaudoyer for technical support.
Author information
Authors and Affiliations
Corresponding author
Electronic supplementary material
Below is the link to the electronic supplementary material.
246_2010_9729_MOESM1_ESM.avi
Fetal echocardiography. Pericardial fetal effusion and right ventricular diverticulum at 15 weeks of gestation. (AVI 3897 kb)
246_2010_9729_MOESM2_ESM.avi
Fetal echocardiography. Pericardial fetal effusion and right ventricular diverticulum at 15 weeks of gestation. (AVI 3307 kb)
Rights and permissions
About this article
Cite this article
Carrard, C., Massardier, J., Pangaud, N. et al. Fetal Right Ventricular Diverticulum With Pericardial Effusion: Report of a New Case Treated by In Utero Pericardiocentesis. Pediatr Cardiol 31, 891–893 (2010). https://doi.org/10.1007/s00246-010-9729-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00246-010-9729-2