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      Case series: Congenital left ventricular diverticulum

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          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.

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          A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart.

          J CANTRELL, J Haller, M Ravitch (1958)
          Article 0 comments Cited 91 times – based on 0 reviews     Review now
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            Combined congenital defects of the anterior abdominal wall, sternum, diaphragm, pericardium, and heart: a case report and review of the syndrome.

            W M Toyama (1972)
            Article 0 comments Cited 35 times – based on 0 reviews     Review now
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              Prevalence and Outcome of Congenital Left Ventricular Aneurysms and Diverticula in an Adult Population

              Marc-Alexander Ohlow, Maria Secknus, Johann C. Geller … (2009)
              Objectives: We sought to investigate the prevalence and clinical outcome of congenital left ventricular aneurysms (LVAs) and diverticula (LVD) in a large adult population. Methods: We retrospectively studied the left ventricular angiograms of 12,271 consecutive patients undergoing cardiac catheterization at our institution and analyzed the medical records of the patients. Results: The overall prevalence of LVA/LVD was 0.76% (94 patients): there were 42 patients with LVA (0.34%) and 52 patients with LVD (0.42%). Men were more likely to have LVA (62 vs. 38%), and women were more likely to have LVD (75 vs. 25%; p = 0.001 for both). The mean time of follow-up was 56 ± 6 months and was focused on clinical events, rehospitalization and survival. Mortality was 6% with no cardiac death. Patients with LVD were significantly more likely to have embolic events (p = 0.04). Patients with LVA and LVD were more likely to have rhythm disturbances compared with controls (p = 0.01 for both). Incidence of syncope was not different in both groups (p = 0.4 and 0.12, respectively). There was no reported incidence of rupture. Conclusion: This large single-center study suggests that the prevalence of LVA/LVD in adults is up to 20-fold higher than previously reported. One third of the affected patients in our series had nonfatal cardiovascular events during follow-up, with a predominance of embolic events in the LVD group.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Indian J Radiol Imaging
                Journal ID (publisher-id): IJRI
                Title: The Indian Journal of Radiology & Imaging
                Publisher: Medknow Publications (India )
                ISSN (Print): 0971-3026
                ISSN (Electronic): 1998-3808
                Publication date (Print): August 2010
                Volume: 20
                Issue: 3
                Pages: 211-214
                Affiliations
                Department of Radio-Diagnosis, Seth Vadilal Sarabhai General Hospital, Ellisbridge, Ahmedabad - 380 016, Gujarat, India
                Author notes
                Correspondence: Dr. Dharita Shah, 15, Amrakunj Society, Behind Nehru Nagar, SM Road, Ambavadi, Ahmedabad - 380 006, Gujarat, India. E-mail: dharsan19@ 123456gmail.com
                Article
                Publisher ID: IJRI-20-211
                DOI: 10.4103/0971-3026.69356
                PMC ID: 2963743
                PubMed ID: 21042448
                SO-VID: 393ec3e3-b0ab-4412-a4ab-16af35748c3e
                Copyright © © Indian Journal of Radiology and Imaging
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Cardiac

                ScienceOpen disciplines: Radiology & Imaging
                Keywords: left ventricular diverticulum,ct angiography,cantrell’s pentalogy
                Data availability:
                ScienceOpen disciplines: Radiology & Imaging
                Keywords: left ventricular diverticulum, ct angiography, cantrell’s pentalogy

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