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Case Reports
. 2022 Apr;30(2):142-145.
doi: 10.4250/jcvi.2021.0148.

A Case of Isolated Congenital Left Ventricular Diverticulum in a Child

Youn Young Lee  1 , Jae Sung Son  1   2 , Hye Won Park  1   3 , Ran Lee  1   3
Affiliations
Case Reports

A Case of Isolated Congenital Left Ventricular Diverticulum in a Child

Youn Young Lee et al. J Cardiovasc Imaging. 2022 Apr.
No abstract available

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Conflict of interest statement

The authors have no financial conflicts of interest.

Figures

Figure 1
Figure 1. Transthoracic 2-dimensional echocardiogram showed a large outpouching (orange asterisk), located at the inferolateral wall and apex of the LV, sized 50 × 22 mm in (A) apical, (B) parasternal long-axis, (C) parasternal short-axis, (D) subcostal view.
LV: left ventricle.
Figure 2
Figure 2. The apical 4-chamber view showed outpouching (orange asterisk), communicating with the LV through about 5 mm narrow neck. Color flow mapping showed (A) a slow end-diastolic inflow at the neck and (B) a rapid end-systolic outflow toward the LV, with a maximum velocity of 4.03 m/sec. This means the diverticular wall contracted actively and suggested the possibility of a congenital left ventricular diverticulum.
LV: left ventricle.
Figure 3
Figure 3. (A) The left ventricle excluding the diverticular portion showed normal contractile function, with an ejection fraction of 64%. (B) In contrast, the diverticular portion of the left ventricle showed impaired contractile function, with an ejection fraction of 41%.
Figure 4
Figure 4. Pre-operative CMR showed the LVD connected to the dilated left ventricle and (A) the end-diastolic inflow (arrow) and (B) the end-systolic outflow (arrow) through the narrow neck. (C, D) Post-operative CMR showed that the blood flow through the neck disappeared, with a decreased end-diastolic volume index from 69.3 to 43.3 mL/m2.
CMR: cardiac magnetic resonance imaging, LVD: left ventricular diverticulum.
See this image and copyright information in PMC

References

    1. Ohlow MA, von Korn H, Lauer B. Characteristics and outcome of congenital left ventricular aneurysm and diverticulum: analysis of 809 cases published since 1816. Int J Cardiol. 2015;185:34–45. - PubMed
    1. Makkuni P, Kotler MN, Figueredo VM. Diverticular and aneurysmal structures of the left ventricle in adults: report of a case within the context of a literature review. Tex Heart Inst J. 2010;37:699–705. - PMC - PubMed
    1. Halpern L, Garabedian C, Worrall NK. Congenital ventricular diverticulum or aneurysm: a difficult diagnosis to make. Case Rep Cardiol. 2018;2018:5839432. - PMC - PubMed
    1. Restrepo CS, Lane MJ, Murillo H. Cardiac aneurysms, pseudoaneurysms, and diverticula. Semin Roentgenol. 2012;47:262–276. - PubMed
    1. Yao M, Wang R, Ye W, Ren C. Surgical treatment of congenital left ventricular diverticulum. J Thorac Dis. 2021;13:291–298. - PMC - PubMed

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