Korean Circ J.  2020 Mar;50(3):284-287. 10.4070/kcj.2019.0274.

A Congenital Annular Pericardial Fibrous Band Diagnosed at Fetal Life

• Yang HJ
• Shin JA
• Kim KM
• Yoon JH
• Lee JY

• KMID: 2470915
• DOI: http://doi.org/10.4070/kcj.2019.0274

Abstract

No abstract available.

Figure

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  Figure 1 Fetal echocardiography findings. (A) A short-axis view showing an unusual white ring-like structure encircling both mid-ventricular cavities. (B) A 4-chamber view showing a band-like structure crossing diaphragmatic surface of both ventricles (arrows). The star (★) indicates the crux cordis. LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.

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  Figure 2 Parasternal long-axis views showing invaginations of pericardium (arrows) into diaphragmatic surfaces of LV (A) and RV (B). LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.

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  Figure 3 A modified apical 4-chamber view showing a band-like structure crossing diaphragmatic surface of both ventricles (arrows). The star (★) indicates the crux cordis and dotted lines indicate atrioventricular junctions. LA = left atrium; LVA = apical part of left ventricle; LVI = inlet part of left ventricle; RA = right atrium; RVA = apical part of right ventricle; RVI = inlet part of right ventricle.

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  Figure 4 Three-dimensional cardiac computed tomography showing indentations (arrows) of diaphragmatic surface of both ventricles (A), lateral wall of LV (B) and lateral wall of RV (C). The star (★) indicates the crux cordis and dotted lines indicate atrioventricular groove or junctions. LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.

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  Figure 5 Tissue Doppler images showing decreased early diastolic (E′) velocities of mitral (A) and tricuspid annuli (B), suggesting an early stage of ventricular diastolic dysfunction.

Reference

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