Key result
Fetal congenital cardiac diverticulum with pericardial effusion had favorable outcomes at 17 and 22 months of age, following either pericardiocentesis for hydrops or spontaneous regression.
Case Report (n=2)
Fetal congenital cardiac diverticulum with pericardial effusion can have variable presentations, but may have a favorable outcome with either spontaneous regression or intervention like pericardiocentesis.
Favorable outcomes possible with intervention or observation; leaves open need for larger series to guide fetal management.
Two cases of fetal congenital cardiac diverticula diagnosed at 14 and 12 weeks of gestation are reported. Both presented with a large pericardial effusion. One fetus presented with increased NT which evolved into fetal hydrops. Pericardiocentesis at 16 weeks led to progressive resolution of hydrops. The other showed no hemodynamic compromise, normal nuchal translucency (NT) and spontaneous regression of the effusion. Both children were well at 22 and 17 months of age at the time of writing.
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Prefumo et al. (2005) conducted a case report in Fetal congenital cardiac diverticulum with pericardial effusion (n=2). Fetal congenital cardiac diverticulum was evaluated on Clinical outcome. Fetal congenital cardiac diverticulum with pericardial effusion had favorable outcomes at 17 and 22 months of age, following either pericardiocentesis for hydrops or spontaneous regression.
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