Isolated Congenital Left Ventricular Diverticulum in Adults

نویسندگان

  • Joon Chul Jung
  • Hong Chul Oh
  • Kyung-Hwan Kim
چکیده

Isolated congenital ventricular diverticulum or aneurysm is rare and usually arises from the left ventricle. The presentation of this condition is diverse. We report three cases of isolated congenital left ventricular diverticula. The age range was 17-30 years. Chest X-ray provided the earliest clinical suspicion in these three cases of a cardiac anomaly which was diagnosed by echocardiography and confirmed by angiocardiography. The location of the congenital left ventricular diverticulum was the left ventricular apex in two cases and basal in the other. We conclude that congenital left ventricular diverticulum is a disease of protean presentations. A high index of suspicion is necessary while interpreting chest X-rays and echocardiographs to diagnose congenital left ventricular diverticulum. A contractile accessory chamber of the left ventricle with a narrow neck with or without midline defects and an electrocardiogram without Q waves is consistent with the diagnosis of congenital left ventricular diverticulum.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

An Asymptomatic Left Ventricular Diverticulum

Congenital ventricular diverticulum is defined as a protrusion of the free wall of the ventricle, including endocardium, myocardium and pericardium. They have been classified in fibrous and muscular types. Congenital ventricular diverticulum may be asymptomatic or may be present with various clinical symptoms. Diverticulum is commonly seen in childhood, and fibrous type being the most common ty...

متن کامل

Isolated true contractile left ventricular diverticulum in an adult patient.

Isolated left ventricular diverticulum, which is characterized by local embryologic development failure of ventricular muscle, is a rare cardiac abnormality and it may be found in isolated form or with other cardiac abnormalities. Clinically, it has been reported that it might cause heart failure, arrhythmia or chest pain despite the fact that it may often follow an asymptomatic course. We pres...

متن کامل

Peripheral arterial embolism due to a left ventricular diverticulum in a young adult.

A 32-year-old man was admitted to the emergency department of our hospital after experiencing a peripheral arterial embolism. Investigation of the possible embolic sources in an otherwise asymptomatic patient revealed the existence of a left ventricular diverticulum. The left ventricular diverticulum is a rare congenital anomaly, either isolated or as a part of a syndrome including other congen...

متن کامل

Congenital diverticulum of the left ventricle. Report of two unusual cases.

Of two infants with congenital cardiac diverticula one had a defect consisting of a submitral valvular diverticulum rather than the expected aneurysm. It was clearly shown by echocardiography as well as angiography and was associated with moderate mitral incompetence and a poorly functioning left ventricular wall. The second infant had an isolated apical left ventricular diverticulum with subno...

متن کامل

A Case of Isolated Congenital Left Ventricular Diverticulum with Acute Myocarditis

Isolated congenital left ventricular diverticulum is a rare congenital heart malformation with an incidence ranging from 0.05% to 0.4%[1]. This lesion was defined by a protrusion of the threelayer left ventricular free walls, and was first described in 1838[1]. Multiple clinical phenotypes were presented in literature, such as chest pain, arrhythmia, systemic embolisation, valve regurgitation, ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 48  شماره 

صفحات  -

تاریخ انتشار 2001