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A unique foetal case of left ventricular non-compaction associated with arrhythmia, structural cardiac anomalies, and agenesis of the ductus venosus

Published online by Cambridge University Press:  22 June 2015

Varsha Thakur
Affiliation:
Department of Paediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
Edgar T. Jaeggi
Affiliation:
Department of Paediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
Lynne E. Nield*
Affiliation:
Department of Paediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
*
Correspondence to: L. E. Nield, MD, FRCPC, Department of Paediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8. Tel: 416 813 6140; Fax: 416 813 7547; E-mail: lynne.nield@sickkids.ca

Abstract

A 21-week gestational age foetus was diagnosed with left ventricular non-compaction, Ebstein’s anomaly, sinus bradycardia, first-degree heart block, and agenesis of the ductus venosus. The prognosis was guarded given the constellation of findings, and the foetus was monitored closely. Despite a potentially poor outcome, the foetus survived. Prognosis in foetally diagnosed left ventricular non-compaction is usually poor; however, rarely, foetuses can survive postnatally.

Type
Brief Reports
Copyright
© Cambridge University Press 2015 

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References

1. Jenni, R, Oeschlin, E, Schneider, J, Attenhoffer Jost, C, Kaufmann, PA. Echocardiographic and pathoanatomical characteristics of isolated left ventricular noncompaction: a step towards classification as a distinct cardiomyopathy. Heart 2001; 86: 666671.CrossRefGoogle ScholarPubMed
2. Wojakowski, A, Izbizky, G, Carcano, ME, Aiello, H, Marantz, P, Otano, L. Fetal Doppler mechanical PR interval: correlation with fetal heart rate, gestational age and fetal sex. Ultrasound Obstet Gynecol 2009; 34: 538542.CrossRefGoogle ScholarPubMed
3. Arunamata, A, Punn, R, Cuneo, B, Bharati, S, Silverman, NH. Echocardiographic diagnosis and prognosis of fetal left ventricular noncompaction. J Am Soc Echocardiogr 2012; 25: 112120.CrossRefGoogle ScholarPubMed
4. Brescia, ST, Rossano, JW, Pignatelli, R, et al. Mortality and sudden death in pediatric left ventricular noncompaction in a tertiary referral center. Circulation 2013; 127: 22022208.CrossRefGoogle ScholarPubMed
5. Thomas, JT, Petersen, S, Cincotta, R, Lee-Tannock, A, Gardener, G. Absent ductus venosus – outcomes and implications from a tertiary centre. Prenat Diagn 2012; 32: 686691.CrossRefGoogle ScholarPubMed

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