TY  - EJOU
AU  - Kaya, Yücel 
AU  - Yavuz, And 
AU  - Sayal, Hasan Berkan 
AU  - Tsakir, Büşra 
AU  - Kabacaoğlu, Gökalp 
AU  - Özcan, Kadriye Nilay 

TI  - Prenatal Diagnosis of an Apically Located Congenital Left Ventricular Aneurysm: A Rare Case
T2  - Structural and Congenital Heart Disease

PY  - 2024
VL  - 19
IS  - 1
SN  - 3071-1738

AB  - 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.
KW  - Heart aneurysm; prenatal diagnosis; echocardiography; congenital heart defects; left ventricle

DO  - 10.32604/chd.2024.048145