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

Background Cardiac 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. Conclusion For 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.

Transitions and Threats to Family from the Standpoint of People in Their Thirties

The aim of this study is to present certain aspects connected with transformation of contemporary Polish families and to indicate threats to performing their functions. Systematic, economic, social and cultural transformations have influenced lives of people and families and new opportunities emerged to improve standards of living, change attitudes and lifestyles. Contemporary families are characterized by varied structure and dominance of non-productive families formed primarily on non-economic grounds, which control and plan birth of children. However, families are facing a number of challenges and threats that affect performing the basic family functions. High unemployment rate, poverty, violence and addictions are only part of the phenomena that negatively affect quality of living of Polish families. This study presents opinions of young people about transitions and threats concerning family functions.