Abstract
A case of fetal congenital cardiac diverticulum, diagnosed at 36 weeks of gestation. The fetus presented with a large cardiac effusion one day before his birth, and an active pericardial bleeding with tamponade and severe bradycardia right before the urgent C-section. Drainage of the effusion done right after the delivery, with good neonatal outcome.
Highlights
A case of fetal congenital cardiac diverticulum, diagnosed at 36 weeks of gestation
These results proved that the fetus was experiencing an active pericardial bleeding at the time of the ultrasound
A cardiac ultrasound done at birth showed the same hyper echoic structure, surrounded by a new pericardial effusion
Summary
A case of fetal congenital cardiac diverticulum, diagnosed at 36 weeks of gestation. The fetus presented with a large cardiac effusion one day before his birth, and an active pericardial bleeding with tamponade and severe bradycardia right before the urgent C-section. An ultrasound done at 35 weeks of gestation was normal. In a routine third trimester ultrasound, done at 36 weeks of gestation, the fetus presented with a minimal pericardial effusion. The second day, the ultrasound was repeated by another obstetrician, with the same minimal cardiac effusion, a good heart rate and normal systolic function.
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