Congenital Diverticulum of the Right and Left Ventricles

Bandow, George T.; Rowe, George G.; Crummy, Andrew B.

doi:10.1148/117.1.19

Cited by 17 publications

(8 citation statements)

References 3 publications

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“…9,10 Most ventricular diverticula arise from the left ventricle, more rarely from the right, 3 or both, 4 single or multiple. 4,11 Pathologically, ventricular diverticulum may be differentiated into muscular and fibrous types. The fibrous type is found near the atrioventricular valve ring.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Isolated Congenital Left Ventricular Muscular Diverticulum In An Adult: A Case Report

et al. 2003

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Congenital ventricular diverticulum is a very rare malformation in adults. We describe a 21-year-old male with a congenital muscular left ventricular diverticulum in the inferior wall. The lesion was suspected on two-dimensional transthoracic echocardiography; transesophageal echocardiography allowed clear detection of the diverticulum as well of mild mitral valve prolapse. The diagnosis was confirmed by cardiac catheterization. There were no other thoracoabdominal or cardiac anomalies, the patient was asymptomatic, and surgery was not deemed necessary.

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Section: Discussionmentioning

confidence: 99%

Asymptomatic Isolated Congenital Left Ventricular Muscular Diverticulum In An Adult: A Case Report

et al. 2003

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“…They are typically less than 3 cm in length and 1.25 cm in width [ 5 ]. They occur much more frequently in the left ventricle but rarely have been reported in the right ventricle or in both ventricles [ 6 , 7 ]. The midline defect may be obvious (omphalocele and epigastria hernia) or a small rent in the diaphragm discovered at the time of surgery.…”

Section: Discussionmentioning

confidence: 99%

Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make

Halpern

Garabédian

Worrall

2018

Case Reports in Cardiology

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A pouch protruding from the free wall of the left ventricle may be either a congenital ventricular diverticulum (CVD) or aneurysm (CVA). Being aware of these rare congenital anomalies is critical in making the diagnosis. Differentiating the two is important for treatment decisions. We describe a patient with dextrocardia, Tetralogy of Fallot, and a congenital left ventricular apical diverticulum diagnosed following the induction of anesthesia. CVD and CVA may present in the antenatal period through late adulthood with differing morphology, location, and symptoms. Echocardiography is paramount in the diagnosis and characterization of these lesions. If this anomaly is encountered after the induction of anesthesia or during intraoperative echocardiography, the cardiothoracic anesthesiologist should make the surgical team aware so it can be further characterized and a treatment plan made prior to incision.

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“…Diverticuli arise most commonly from the left ventricle, but right atrial, right ventricular, and dual ventricular origins have been reported 6–8 . The most frequently described classification is into muscular and fibrous types.…”

Section: Discussionmentioning

confidence: 99%

“…In early childhood, cardiac rupture, tamponade, sudden death, endocarditis, peripheral embolism, heart failure, or arrhythmias are frequently the presenting manifestation 4,10 . In adults, the initial presentation of diverticuli may be an abnormal ECG or chest radiograph in an asymptomatic patient, or chest pain, heart failure, ventricular arrhythmia, or rupture 6,11–14 . Echocardiography, ventriculography, and cardiac magnetic resonance imaging are frequently used to make the diagnosis.…”

Section: Discussionmentioning

confidence: 99%