Key result
Fetus with LVNC, Ebstein's anomaly, and ductus venosus agenesis survives postnatally despite poor prognosis.
Case Report (n=1)
This case demonstrates that foetuses diagnosed with left ventricular non-compaction and complex structural anomalies can rarely survive postnatally.
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Rare survival in this complex fetal case warrants cautious prognostic counseling; leaves open identification of favorable predictors in LV non-compaction with Ebstein's anomaly.
A 21-week gestational age foetus was diagnosed with left ventricular non-compaction, Ebstein's anomaly, sinus bradycardia, first-degree heart block, and agenesis of the ductus venosus. The prognosis was guarded given the constellation of findings, and the foetus was monitored closely. Despite a potentially poor outcome, the foetus survived. Prognosis in foetally diagnosed left ventricular non-compaction is usually poor; however, rarely, foetuses can survive postnatally.
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Thakur et al. (2015) conducted a case report in Left ventricular non-compaction, Ebstein's anomaly, sinus bradycardia, first-degree heart block, and agenesis of the ductus venosus (n=1). A 21-week gestational age foetus with left ventricular non-compaction, Ebstein's anomaly, and agenesis of the ductus venosus survived postnatally despite a typically poor prognosis.
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