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Fetal Left Ventricular Apical Aneurysm Progressing to Dilated Cardiomyopathy Due to Glycogen Storage Disease
Authors:Geetha Challapudi  Gerard J. Boyle  E. Rene Rodriguez  Rukmini Komarlu
Affiliation:1. Department of Pediatric Cardiology, Children''s Hospital of Mercy, Kansas City, Missouri ; 2. Department of Pediatric Cardiology, Cleveland Clinic Children''s Hospital, Cleveland, Ohio ; 3. Department of Pathology, Cleveland Clinic Children''s Hospital, Cleveland, Ohio
Abstract:Fetal dilated cardiomyopathy is a rare anomaly characterized by ventricular dilation and dysfunction. Its causes are diverse, and its outcomes are generally dismal. We describe a rare case of prenatally diagnosed left ventricular apical aneurysm that progressed rapidly to dilated cardiomyopathy. At age 2 months, the infant underwent heart transplantation. Pathologic examination of the explanted heart revealed that the cause of the dilated cardiomyopathy was glycogen storage disease. This case highlights the crucial roles of timely diagnosis, frequent close monitoring, and multidisciplinary care in achieving a successful postnatal outcome.
Keywords:Cardiomyopathy, dilated/diagnosis   delivery rooms/organization &   administration   fetal diseases/diagnosis/diagnostic imaging/etiology/pathology/physiopathology   glycogen storage disease   heart ventricles   infant, newborn   prenatal diagnosis   treatment outcome   ultrasonography, prenatal
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