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First published on April 19, 2008
Journal of Diagnostic Medical Sonography 2008, doi:10.1177/8756479308317003
© 2008 Society of Diagnostic Medical Sonography

Article

Fetal Bifid Left Ventricular Diverticulum Presenting With Ventricular Ectopy

Ulrike Brucks, Jude Duval, David Roberson, Bettina F. Cuneo*, and Tarek Husayni

* To whom correspondence should be addressed. E-mail: cuneo{at}thic.com.


  Abstract
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.


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