Evidence map›Paper›PMID 34016061›Full record

ArticleBMC pregnancy and childbirth2021

In utero fetal left ventricular rupture and pseudoaneurysm formation: a case report.

Sarah Heland, Sarah Hope, Andrew Edwards, Rebecca Chalmers, Alice Stewart, Annie Kroushev, Bennett Sheridan, Stuart Hooper, Kirsten R Palmer

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 91% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Sarah HelandDepartment of Obstetrics and Gynaecology, Monash Health, Clayton, VIC, Australia.
Sarah HopeDepartment of Paediatric Cardiology, Monash Heart, and Monash Cardiovascular Research Centre, Clayton, Australia.
Andrew EdwardsDepartment of Obstetrics and Gynaecology, Peninsula Health, and The Ritchie Centre, Hudson Institute of Medical Research, Clayton, Australia.
Rebecca ChalmersDepartment of Obstetrics and Gynaecology, Monash Health, Clayton, VIC, Australia.
Alice StewartMonash Newborn, Monash Health, Clayton, Australia.
Annie KroushevDepartment of Obstetrics and Gynaecology, Monash Health, Clayton, VIC, Australia.
Bennett SheridanCardiac Intensive Care, Royal Children's Hospital, Parkville, Australia.
Stuart HooperThe Ritchie Centre, Hudson Institute of Medical Research, Clayton, Australia.
Kirsten R PalmerDepartment of Obstetrics and Gynaecology, Monash Health, and The Ritchie Centre, Hudson Institute of Medical Research, Clayton, Australia. kirsten.palmer@monash.edu.ORCID http://orcid.org/0000-0001-7421-6291
Monash Health · AUHudson Institute of Medical Research · AUMonash Medical Centre · AURoyal Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac ventricular aneurysms affect 1 in 200,000 live births. To the best of our knowledge, no reported cases of a left ventricular pseudoaneurym and in utero rupture exist to guide optimal management. CASE PRESENTATION: We present a case of fetal left ventricular rupture with a large pericardial effusion, cardiac tamponade and subsequent pseudoaneurysm formation with concerns for a poor prognosis. Interventional drainage of the pericardial effusion led to resolution of tamponade and significant improvement in fetal condition. A multidisciplinary team was utilised to plan birth to minimise risk of pseudoaneurysmal rupture and a catastrophic bleed at birth.

conclusionFor similar cases we recommend consideration of birth by caesarean section, delayed cord clamping and a prostaglandin E1 infusion, to reduce the systemic pressures on the left ventricle during transition from fetal to neonatal circulations, until definitive surgical repair. In this case, this resulted in a successful outcome.

Indexed as

AdultAneurysm, FalseCardiac TamponadeCesarean SectionFemaleFetal DiseasesHeart RuptureHeart VentriclesHumansPericardial EffusionPregnancyTreatment OutcomeCardiac pseudoaneurysmInterventional drainagePerinatal cardiologyVentricular rupture

Identifiers

PMID34016061
PMCPMC8135179
OpenAlexW3162844074

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.