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A Fetal Presentation of a Ruptured Right Ventricular Diverticulum

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Abstract

Ruptured diverticula and ventricular aneurysms are rare in the fetus, with a limited number of case reports published previously. Additional fetal complications secondary to these ventricular wall abnormalities can be seen. Interventional measures can be considered and attempted either in utero or postnatally to improve the chance of survival. We present a case of a ruptured diverticulum in a fetus and the clinical course.

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Authors and Affiliations

  1. Department of Pediatrics (Cardiology), University of Arkansas for Medical Sciences and Arkansas Children’s Hospital, 1 Children’s Way, Slot 512-3, Little Rock, AR, 72202, USA

    Laura A. Schoeneberg, Dala Zakaria, Elijah H. Bolin, Brian K. Eble & Renee A. Bornemeier

  2. Department of Pediatrics (Neonatology), University of Arkansas for Medical Sciences and Arkansas Children’s Hospital, 1 Children’s Way, Slot 512-3, Little Rock, AR, 72202, USA

    Franscesca Miquel-Verges

  3. Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, 1 Children’s Way, Slot 512-3, Little Rock, AR, 72202, USA

    Adam T. Sandlin

Authors
  1. Laura A. Schoeneberg
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  2. Dala Zakaria
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  3. Elijah H. Bolin
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  4. Brian K. Eble
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  5. Franscesca Miquel-Verges
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  6. Adam T. Sandlin
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  7. Renee A. Bornemeier
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Corresponding author

Correspondence to Laura A. Schoeneberg.

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Ethical Approval

Ethical approval was waived by the local Ethics Committee of University of Arkansas Medical sciences in view that this is a case report; however, written consent was obtained by the family.

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Supplementary Information

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Video 1 Pericardial effusion - Massive effusion surrounding the fetal heart with lung compression. Supplementary file1 (MP4 2120 KB)

Video 2 Flow in the diverticulum- Sagittal view with flow from ventricle into pericardial space. Supplementary file2 (MP4 2642 KB)

Video 3 Echo diverticulum- “Bleb-like” appearance of the diverticulum. Supplementary file3 (MP4 1438 KB)

Video 4 Coagulum - Coagulum around the epicardial surface of the ventricles.Supplementary file4 (MP4 2473 KB)

Video 5 Fibrosis- Resolved coagulum with residual fibrinous rind surrounding the heart. Supplementary file5 (MP4 2400 KB)

Video 6 Multi-septated fluid collection- Delivery room images showing multi-septated fluid collections within the chest. Supplementary file6 (MP4 2071 KB)

Video 7 Diverticulum - Persistent diverticulum with residual communication with right ventricular cavity. Supplementary file7 (MP4 737 KB)

Image 1 To fro flow in the diverticulum. Supplementary file8 (TIFF 735 KB)

Image 2 To fro flow in the diverticulum. Supplementary file9 (TIFF 689 KB)

Image 3 “Bleb-like” appearance of the diverticulum. Supplementary file10 (TIFF 579 KB)

Image 4 Coagulum. Supplementary file11 (TIFF 705 KB)

Image 5 Multi-septated fluid collection. Supplementary file12 (TIFF 545 KB)

Image 6 Low in the diverticulum post-natal. Supplementary file13 (TIFF 847 KB)

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Schoeneberg, L.A., Zakaria, D., Bolin, E.H. et al. A Fetal Presentation of a Ruptured Right Ventricular Diverticulum. Pediatr Cardiol 42, 978–980 (2021). https://doi.org/10.1007/s00246-021-02572-7

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  • DOI: https://doi.org/10.1007/s00246-021-02572-7

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