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This version was published on May 1, 2008
Journal of Diagnostic Medical Sonography, Vol. 24, No. 3, 165-168 (2008)
DOI: 10.1177/8756479308317003

Fetal Bifid Left Ventricular Diverticulum Presenting With Ventricular Ectopy

Ulrike Brucks, RDMS, RVT, APS

Heart Institute for Children, Oak Lawn, IL

Jude Duval, MD

Heart Institute for Children, Oak Lawn, IL

David Roberson, MD

Heart Institute for Children, Oak Lawn, IL

Bettina F. Cuneo, MD

Heart Institute for Children, Oak Lawn, IL, BettinaCuneo{at}thic.com

Tarek Husayni, MD

Heart Institute for Children, Oak Lawn, IL

We report the diagnosis and outcome of a fetus with an unusual left ventricular wall defect. A 34-week fetus presented for echocardiographic evaluation because of an irregular cardiac rhythm. Fetal echocardiography revealed frequent ventricular ectopy and an "accessory" ventricular chamber diagnosed as a left ventricular diverticulum (LVD). The ectopy resolved in utero but recurred after delivery. Angiography revealed a "bifid" LVD. Inderal therapy suppressed the ventricular ectopy. The association between ventricular ectopy and LVD is unusual, but the prognosis of LVD even with arrhythmia is excellent.

Key Words: fetus • arrhythmia • LV wall defect


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