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Case Reports
. 2010 Aug;20(3):211-4.
doi: 10.4103/0971-3026.69356.

Case series: Congenital left ventricular diverticulum

Dharita Shah  1 , C Prem Kumar, Mukesh S Shah, Mihir Baraiya
Affiliations
Case Reports

Case series: Congenital left ventricular diverticulum

Dharita Shah et al. Indian J Radiol Imaging. 2010 Aug.

Abstract

Congenital left ventricular diverticulum is a rare cardiac malformation characterized by a localized outpouching from the cardiac chamber. The patient is usually asymptomatic. However, complications like embolism, infective endocarditis, arrhythmia and, rarely, rupture can be the initial presentation. Diagnosis can be established by USG, echocardiography, CT angiography, and MRI. We report here two neonates with congenital left ventricular apical diverticulum associated with epigastric hernia.

Keywords: CT angiography; Cantrell’s pentalogy; Left ventricular diverticulum.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1 (A,B)
Figure 1 (A,B)
Case 1: A frontal radiograph of the chest (A) shows a dextrorotated heart and reduced pulmonary vascular markings. A lateral radiograph (B) shows a soft tissue swelling (arrow) with air-filled bowel loops (arrowheads) in the umbilical and epigastric region
Figure 2 (A,B)
Figure 2 (A,B)
Case 1: A mid-sagittal USG (A) shows a thick tubular channel (arrow) arising from the cardiac apex and extending up to the umbilical region. The flow ceases just above the level of the umbilicus. Color Doppler USG (B) shows communication with the left portal vein (arrow) through the obliterated umbilical vein (arrowhead)
Figure 3 (A-D)
Figure 3 (A-D)
Case 1: Thin coronal (A) and sagittal (B) multiplanar (MPR) CT scan images show a tubular channel (arrow) arising from the cardiac apex and extending up to the umbilical region. The dextraposed aorta is seen arising from the right ventricle. A narrow pulmonary artery can be seen arising from the right ventricle. The diverticulum arises from the cardiac apex. Axial CT scan (C) shows an umbilical hernia containing the left lobe of the liver and the ventricular diverticulum. Sagittal CT scan reconstruction (D) shows the sternum with four ossification centers
Figure 4 (A,B)
Figure 4 (A,B)
Case 1: A thin overlapping coronal oblique maximum intensity projection (MIP) CT scan image (A) shows the right ventricular outlet (arrow). A volume-rendered 3DCT reconstruction (B) shows the double outlet right ventricle (RV), narrow pulmonary artery (PS), and diverticulum (D) from the cardiac apex
Figure 5
Figure 5
Case 1: Photograph of the baby shows a local swelling at the umbilical region
Figure 6 (A,B)
Figure 6 (A,B)
Case 2: Coronal (A) and mid-sagittal (B) thin MIP CT scans show a diverticulum (arrow) arising from the left ventricular apex
Figure 7 (A,B)
Figure 7 (A,B)
Case 2: Axial CT scan (A) shows umbilical bowel herniation (arrow) and the diverticulum (arrowhead). Volume-rendered 3DCT (B) shows the diverticulum (arrow) on the left and the aorta (arrowhead) on the right
See this image and copyright information in PMC

References

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