| Literature DB >> 28811945 |
Raquel Garcia Rodriguez1, Azahara Rodriguez Guedes1, Raquel Garcia Delgado1, Lourdes Roldan Gutierrez1, Margarita Medina Castellano1, Jose Angel Garcia Hernandez1.
Abstract
[This corrects the article DOI: 10.1155/2015/154690.].Entities:
Year: 2017 PMID: 28811945 PMCID: PMC5546072 DOI: 10.1155/2017/6207658
Source DB: PubMed Journal: Case Rep Obstet Gynecol ISSN: 2090-6692
Description of the cases of cardiac diverticulum reported in the literature.
| Author | GA di | Size | Sex | Location | Karyotype | Associated anomalies | Intervention | Prenatal progression | Neonatal | Follow-up | |
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| 1 | Kitchiner et al. (1990) [13] | 33 | — | Female | Apex VI | — | Cardiomegaly | No | Stable | Vaginal delivery 40 w; cardiomegaly, tachypnea, heart murmur, muscular IVC, mild mitral regurgitation | Asymptomatic at 3.5 months of life |
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| 2 | Hornberger et al. (1994) [9] | 31 | — | — | Lateral wall below tricuspid valve (RV) | — | — | No | — | — | — |
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| 3 | Carles et al. (1995) [24] | 13 | — | Male | Apex LV | — | Pericardial effusion | TOP 14 w | — | — | — |
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| 4 | Cesko et al. (1998) [25] | 17 | — | Male | Apex RV | 46XY | Pericardial effusion | TOP 22 w | Stable | — | — |
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| 5 | Cavallé-Garrido et al. (1997) [6] | 20 | Large | Female | Lateral wall below mitral valve (LV) | Trisomy 18 | Ventricular septal defect, hydrops | No | Fetal death 26 w | — | — |
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| 6 | Cavallé-Garrido et al. (1997) [6] | 19 | Small | Female | Apex RV | — | No | No | Stable; spontaneous resolution at 34 w | Asymptomatic | Asymptomatic at 22 months of life |
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| 7 | Cavallé-Garrido et al. (1997) [6] | 19 | Small | — | Apex RV | — | Pericardial effusion | PC 20 w | Stable | Asymptomatic | Asymptomatic at 12 months of life |
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| 8 | Cavallé-Garrido et al. (1997) [6] | 36 | Small | Male | Lateral wall below tricuspid valve (RV) | — | Pericardial effusion | — | — | — | Asymptomatic at 18 months of life |
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| 9 | Johnson et al. (1996) [16] | 19 | 3 mm | Female | Apex RV | 46XX | Pericardial effusion | PC 20 w | No relapse after PC, no growth | Eutocic delivery 41 w; weight 3700 grams Asymptomatic | Asymptomatic at 16 months of life |
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| 10 | Brachlow et al. (2002) [23] | 32 | — | — | Apex LV | — | Cardiomegaly | No | Stable | — | Asymptomatic at 6 months of life |
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| 11 | Bernasconi et al. (2004) [26] | 22 | 10 × 5 mm | Male | LV lateral wall below mitral valve | 46XY | Pericardial effusion | PC 22 w | — | Fetal death 26 w, probably due to diverticulum rupture | — |
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| 12 | McAuliffe et al. (2005) [27] | 13 | 4 × 6 mm | Male | Apex RV | 46XY | First trimester NT 4.2 mm | PC 16 w | Resolution of the effusion; CD stable | Eutocic delivery 38 w; weight of 3070 grams Asymptomatic | Asymptomatic at 10 months of life |
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| 13 | McAuliffe et al. (2005) [27] | 13 | 4 × 3 mm | Male | Apex RV | 46XY | First trimester NT 2 mm | PC 14 w | Resolution of the effusion; CD stable | Eutocic delivery 38 w; weight 3150 grams Asymptomatic | Asymptomatic at 8 months of life |
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| 14 | Prefumo et al. (2005) [1] | 14 | 5 × 5 | Male | Apex RV | 46XY | First trimester NT 3.7 mm | PC 16 w | Resolution of the effusion and hydrops; CD stable; mild cardiomegaly | Vaginal full-term eutocic delivery; asymptomatic | Asymptomatic at 22 months of life |
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| 15 | Prefumo et al. (2005) [1] | 12 | 1 mm | — | Apex RV | — | First trimester NT 1.2 mm | No | Spontaneous resolution of PE with 21 w; CD stable | Full-term eutocic delivery, asymptomatic | Asymptomatic at 17 months of life |
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| 16 | Gardiner et al. (2009) [19] | 14 | 2-3 mm | — | Apex RV | Normal | Pericardial effusion | PC 14 w | Resolution of the effusion and hydrops CD collapsed | Asymptomatic at birth | — |
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| 17 | Gardiner et al. (2009) [19] | 14 | 2-3 mm | — | Apex RV | Normal | Pericardial effusion | TOP | — | — | — |
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| 18 | Del Río et al. (2005) [18] | 13 | 5 × 5 | Female | Apex RV | 46XX | Pericardial effusion, septal defect AV | No | Spontaneous resolution at 28 w | Eutocic delivery 40 w; weight 3400 grams, asymptomatic at birth | Correction of septal defect at 3 months of life, resection of diverticulum; Asymptomatic at 8 months of life |
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| 19 | Wax et al. (2007) [14] | 20 | 6 × 9 mm | Male | Junction base RV-infundibulum | — | No | No | Stable | Full-term eutocic delivery; Weight 3689 grams, asymptomatic; small permeable FO | Asymptomatic at 18 months of life |
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| 20 | Koshiishi et al. (2007) [17] | 24 | 7 × 10 mm | — | Lateral wall below tricuspid valve (RV) | — | Mild pericardial effusion; MC pregnancy with laser intervention for TTTS at week 20 where donor fetus died | No | Stable | Prenatal fetal death at 29 w | — |
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| 21 | Pradhan et al. (2007) [28] | 28 | — | — | Apex LV | — | Fetal arrhythmia | Medical treatment (digoxin) | — | Vaginal delivery 40 w | Asymptomatic at 12 months of life |
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| 22 | Barberato et al. (2009) [29] | 16 | 5 × 5,7 mm | — | Apex LV | — | Mild pericardial effusion | PC 20 w | Discrete enlargement of PE with normal heart function | Prenatal fetal death 37 w | — |
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| 23 | Barberato et al. (2009) [29] | 30 | 12 × 13 mm | — | Mitral subvalvular | — | LV dilatation and reduced systolic function | No | Stable | — | Asymptomatic at 6 months of life |
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| 24 | Davidson et al. (2009) [15] | 20 | — | — | Apex RV | — | Pericardial effusion | No | Spontaneous resolution | — | Surgical treatment |
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| 25 | Abi-Nader et al. (2009) [2] | 21 | 5 × 5,5 mm | Male | RV | — | Pericardial effusion | PC 24 w | Mild tricuspid regurgitation at 31 CD stable | Full-term delivery | Asymptomatic at a year of life |
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| 26 | Perlitz et al. (2009) [30] | 22 | 7 × 4 mm | Male | RV lateral wall | — | No | No | Stable, CD growth up to 9 × 9 mm | Eutocic delivery week 40; weight 4010 grams Asymptomatic at birth | Asymptomatic at a year of life |
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| 27 | Menahem (2010) [31] | 19 | — | — | Apex LV | — | Pericardial effusion | — | No controls performed | Full-term live birth | Asymptomatic at 10 months of life |
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| 28 | Carrard et al. (2010) [32] | 13 | 2,6 × 2,9 mm | Male | RV lateral wall | 46XY | First trimester NT 2.2 mm | PC 17 w | Resolution after PC; CD collapsed at 26 w | Eutocic delivery 40 w, 2780 grams | Asymptomatic at 11 months of life |
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| 29 | Williams et al. (2009) [3] | 22 | 3-4 mm | Male | RV | 46XY | Pericardial effusion | PC 18 w | Reaccumulation after treatment and resolution at 32-33 w | PROM 34 w; intubation due to prematurity; caesarean section; weight 2460 gr; 2 muscle IVCs | Asymptomatic at 14 months of life |
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| 30 | Williams et al. (2009) [3] | 21 | 11 × 15 mm | Male | RV lateral wall below tricuspid valve | — | Isolated | — | — | Eutocic delivery; weight 2780 gr; asymptomatic at birth | Asymptomatic at 16 months of life |
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| 31 | Williams et al. (2009) [3] | 25 | 26 × 16 mm (37 s) | Male | RV | — | Arrhythmia and reduced systolic function | Induced delivery | — | Caesarean section 38 + 5 w; weight 3270 grams; mild reduction of systolic function and premature ventricular contractions at birth | Asymptomatic at 3 years of life, on prophylactic treatment with acetyl salicylic acid |
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| 32 | Paoletti and Robertson (2012) [20] | 17 | — | — | Apex LV | Normal | Mesocardia, per-membranous IVC | No | Stable | Full-term live birth | Asymptomatic at 2 years of life |
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| 33 | Nam et al. (2012) [21] | 21 | 1,6 × 0,4 mm | — | Apex LV | Normal | Defect on thoracoabdominal midline | TOP | — | — | — |
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| 34 | Olorón et al. (2011) [22] | 31 | 12 mm (postnatal) | — | RV lateral wall below tricuspid valve | — | — | No | Ventricular septal defect | Full-term live birth; asymptomatic at birth; symptoms at 45 days of life: closure of septal defect at 3 months of life | Asymptomatic at 10 months of life |
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| 35 | Our case | 14 | 2 mm | Male | Apex RV | 46XY | Pericardial effusion | PC 17 w | PE resolution after treatment; CD Stable; moderate cardiomegaly; normal heart function | Full-term live birth; spontaneous eutocic delivery 40 + 1 w; weight 3150 grams | Asymptomatic at 4 years of life |
GA di: gestational age at diagnosis; RV: right ventriculum; LV: left ventriculum; w: weeks of pregnancy; TOP: termination of pregnancy; PC: pericardiocentesis; CD: cardiac diverticulum; IVC: interventricular communication; PE: pericardial effusion; PROM: premature rupture of membranes; NT: nuchal translucency.
Diagnosis was made during the pathological examination after death. Diagnosis of the ventricular septal defect was made after birth.
Management and outcomes of the cases with cardiac diverticulum and pericardial effusion.
| Reference | GA PE | GA di | Loc. | Size (mm) | Intervention | PE findings | Prenatal progression | Postnatal progression | |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Carles et al. [24] | 13 | — | Apex LV | — | TOP 14 w | — | — | — |
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| 2 | Cesko et al. [25] | 17 |
| Apex RV | 3 mm | TOP 22 w | — | — | — |
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| 3 | Gardiner et al. [27] | 14 | 14 | Apex RV | 2-3 mm | TOP | — | — | — |
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| 4 | Cavallé-Garrido et al. [6] | 19 | — | RV | 3 mm | No | — | Spontaneous resolution at 34 w | Asymptomatic at 22 months |
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| 5 | Cavallé-Garrido et al. [6] | 20 | — | LV lateral wall below mitral valve | large | No | — | Prenatal fetal death at 26 w, trisomy 18 | — |
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| 6 | Prefumo et al. [1] | 12 | 12 | Apex LV | 1 mm | No | — | Spontaneous resolution, effusion disappeared at 14 weeks; CD was not visible on ultrasound examination from week 21 | Asymptomatic at birth; effusion or diverticulum not visible |
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| 7 | Del Río et al. [18] | 13 | 13 | Apex RV | 5 × 5 mm | No | — | Spontaneous resolution; CD did not grow | IVC and IAC (postnatal) |
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| 8 | Davidson et al. [15] | 20 | 20 | Apex RV | — | No | — | Spontaneous resolution; CD did not grow | Surgical treatment at birth |
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| 9 | Koshiishi et al. [17] | 21 | 24 | RV lateral wall | 7 × 10 mm | No | — | Fetal death on week 29 | — |
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| 10 | Menahem [31] | 19 | 19 | Apex LV | — | No | No control performed | Full-term live birth; asymptomatic at 10 months of age; heart murmur; no treatment | |
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| 11 | Cavallé-Garrido et al. [6] | 19 | — | Apex RV | — | PC 20 w | — | No PE relapse, CD did not grow | Full-term live birth; asymptomatic at 12 months of age |
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| 12 | Johnson et al. [16] | 19 | 19 | Apex RV | 3 mm | PC 20 w | 7 cm3 yellow fluid, 20 gr/L proteins (transudate), acellular | No PE relapse, CD did not grow | Full-term live birth; asymptomatic at 16 months of age; no treatment |
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| 13 | Bernasconi et al. [26] | 22 | AP | Pared lateral LV | 10 × 5 mm | PC 25 w | 25 mL old blood fluid | Intrauterine fetal death at 26 weeks (CD rupture) | — |
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| 14 | McAuliffe et al. [27] | 13 | 13 | Apex RV | 4 × 6 mm | PC 16 w | 3 mL serohematic fluid, 18 gr/L proteins (transudate), lymphocytes and mesothelial cells | No PE relapse or enlarging; CD was not visible on week 37 | Full-term live birth; asymptomatic at 10 months of age; no treatment |
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| 15 | McAuliffe et al. [27] | 13 | 13 | Apex RV | 4 × 3 mm | PC 14 w | 0.8 mL serohematic fluid, 15 gr/L proteins (transudate) | No PE relapse; CD did not grow | Full-term live birth; asymptomatic at 8 months of age; no treatment |
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| 16 | Prefumo et al. [1] | 14 | 14 | Apex RV | 5 × 5 mm | PC 16 w | 5 mL clear fluid | No PE relapse; CD did not grow; mild cardiomegaly | Full-term live birth; asymptomatic at 22 months of age; no treatment |
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| 17 | Gardiner et al. [19] | 14 | 14 | Apex RV | 2-3 mm | PC 14 w | 2 mL yellow fluid | No PE relapse; CD did not grow | Full-term live birth; asymptomatic; no treatment |
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| 18 | Carrard et al. [32] | 13 | 15 | Apex RV | 2.6 × 2.9 | PC 17 w | 4 mL clear fluid, 21 g/L proteins (transudate) | No PE relapse; diverticulum was not visible from week 26 on | Full-term live birth; asymptomatic at 11 months of age; no treatment |
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| 19 | Abi-Nader et al. [2] | 21 | 21 | Apex RV | 5 × 4.5 | PC 24 w | Yellow fluid 10 mL, 15.4 g/L proteins (transudate), lymphocytes | Complete resolution one week after PC; CD did not grow | Full-term live birth; asymptomatic at one year of age; no treatment |
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| 20 | Barberato et al. [29] | 16 | 16 | — | — | PC 20 w | Blood-stained fluid | Moderate growth of PE size as compared with postpuncture effusion; expectant approach; intrauterine fetal death on week 37 | — |
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| 21 | Williams et al. [3] | 12 | 22 | Apex RV | — | PC 18 w | — | Relapse one week later and subsequent spontaneous resolution on week 32-33 | — |
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| 22 | Our case | 12 | 14 | Apex RV | 2 mm | PC 17 w | Clear yellow fluid, acellular, transudate | No PE relapse; CD did not grow | Full-term live birth; asymptomatic at birth; treatment with ASA; asymptomatic at 4 years of age |
GA PE: gestational age at pericardial effusion; GA di: gestational age and diverticulum diagnosis; RV: right ventriculum, LV: left ventriculum; w: weeks of pregnancy; PC: pericardiocentesis; CD: cardiac diverticulum; IVC: interventricular communication; PE: pericardial effusion.