A pregnant woman was referred for fetal echocardiographic examination for cardiac dys-rhythmia. During serial examinations, congen-ital left ventricular aneurysm was diagnosed in the fetus. The case is discussed, and a review of the literature on this rare entity and its rela-tionship to cardiac dysrhythmias is presented. The management dilemmas practitioners must address when facing this unusual lesion are also discussed.
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