Prenatal diagnosis of reversible cardiac hypoplasia associated with congenital diaphragmatic hernia: Implications for postnatal management
✍ Scribed by Dr. Diane C. Crawford; David P. Drake; Dominic Kwaitkowski; Michael G. Chapman; Lindsey D. Allan
- Publisher
- John Wiley and Sons
- Year
- 1986
- Tongue
- English
- Weight
- 323 KB
- Volume
- 14
- Category
- Article
- ISSN
- 0091-2751
No coin nor oath required. For personal study only.
✦ Synopsis
Ultrasonic prenatal diagnosis of congenital diaphragmatic hernia has been reported by several centers. 1-5 Identification of abdominal organs in the thoracic cavity, above the diaphragm and adjacent to the fetal heart, is a reliable indicator of congenital diaphragmatic hernia. In some instances the herniated organs cause mediastinal displacement.
This report describes the prenatal diagnosis and subsequent management of a fetus with diaphragmatic hernia and hypoplasia of the left ventricle not attributable to congenital heart disease.
CASE REPORT
A 23-year-old woman, gravida 2, was referred a t 37 weeks of gestation for fetal echocardiography6 following ultrasonic diagnosis of congenital diaphragmatic hernia in the fetus during a routine scan. On examination a left-sided diaphragmatic hernia was visualized (Fig. 1). The stomach was positioned centrally in the left chest. The mediastinum was shifted to the right, causing the heart to lie in the right chest. The cardiac chambers and intracardiac connections were all identified. The right ventricular dimension (10 mm) was within the normal range for menstrual age.' The left ventricular internal dimension of 5.5 mm From the