Diagnosis and outcome in congenital ventricular diverticulum and aneurysm

Marijon, Éloi; Ou, Phalla; Fermont, L; Concordet, Susan; Bidois, J. Le; Sidi, Daniel; Bonnet, Damien

doi:10.1016/j.jtcvs.2005.09.046

Cited by 138 publications

(160 citation statements)

References 11 publications

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“…Although the natural history of patients with idiopathic LVA/Ds is not completely understood, cases of sudden death resulting from ventricular arrhythmias or ventricular rupture have been reported (10). While the vast majority of ventricular arrhythmias arise from reentry circuits originating in idiopathic LVA/Ds (3), few reports have demonstrated an association between ventricular arrhythmia and idiopathic LVA/Ds in catheter-based electrophysiological studies due to the difficulty of performing detailed anatomical mapping of LVA/Ds.…”

Section: Discussionmentioning

confidence: 99%

Ventricular Tachycardia Originating from a Heart-shaped Idiopathic Left Ventricular Aneurysm Diagnosed on a Three-dimensional Electroanatomical Mapping System Integrated with CT Imaging

Nagashima

Yamazato

et al. 2013

Intern. Med.

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Idiopathic left ventricular aneurysms and diverticula (LVA/Ds) are rare cardiac malformations that can be detected using certain imaging techniques. Although most patients with these malformations are clinically asymptomatic, some patients exhibit cardiac arrhythmias and other clinical manifestations. In electrophysiological studies, it is often difficult to establish the relationship between clinical manifestations of cardiac arrhythmias and those of LVA/Ds due to anatomical complexities. We herein report the case of a 67-year-old man who was successfully diagnosed with ventricular tachycardia originating from an idiopathic LVA that was clearly demonstrated on a three-dimensional electroanatomical mapping system integrated with CT imaging.

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Section: Discussionmentioning

confidence: 99%

Ventricular Tachycardia Originating from a Heart-shaped Idiopathic Left Ventricular Aneurysm Diagnosed on a Three-dimensional Electroanatomical Mapping System Integrated with CT Imaging

Nagashima

Yamazato

et al. 2013

Intern. Med.

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“…Marijon et al demonstrated in their cohort of patients diagnosed with LVA/LVD a survival rate of only 30% after 4 years of follow-up. 30 That patient group, however, consisted of neonates or young children associated with other intra-and/or extracardiac malformations, which might represent a different risk group. 2,4 Reports of progressive enlargement or rupture of LVA/LVD exist exclusively in children; 8,31,32 the present series did not include patients below the age of 16 years, and this might explain, at least in part, the low cardiac mortality.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Prognosis of Adult Patients With Isolated Congenital Left Ventricular Aneurysm or Diverticulum and Abnormal Electrocardiogram Patterns

Ohlow

Lauer

Lotze

et al. 2012

Circ J

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Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp ongenital left ventricular aneurysm (LVA) and diverticulum (LVD) are rare malformations and approximately 500 cases have been published in the literature since the first description in 1816. 1 A recent study found a prevalence of 0.76% in adult patients undergoing coronary angiography. 2 Although most investigators distinguish between LVA and LVD, the cause, histopathology, and clinical implications remain controversial. 3-7 The advent of echocardiography and magnetic resonance imaging has led to earlier diagnosis, including prenatal detection. 8-10 The published research on these anomalies consists, beside 1 large single center study, 2 of case reports and small case series, mostly on infants and young children with large aneurysms and poor clinical outcome. 10-16 High morbidity and mortality rates due to heart failure, aneurysm rupture, thromboembolism, and sudden death of unclear cause have been reported. 3,4 More recent published data demonstrated a more favorable course with no cardiac mortality in adults with congenital LVA and LVD. 2,8 A significant proportion of the published literature report arrhythmias in patients with these anomalies. 2,3,17-25 Recently, our own group was able to demonstrate that patients with congenital LVA/ LVD had a high incidence of distinctly abnormal electrocardiograms (ECGs) compared to an age-and gender-matched control group. 26 The purpose of the present study was to evaluate the prognosis and risk factors of patients with a diagnosis of isolated congenital LVA or LVD, having ECG abnormalities. Methods DefinitionThe diagnosis of congenital LVA or LVD was established after angiographic exclusion of coronary artery disease. Clinical and ECG local or systemic inflammation, traumatic causes and car- Background: Congenital left ventricular aneurysm (LVA) and diverticulum (LVD) are rare cardiac anomalies frequently associated with electrocardiogram (ECG) abnormalities. The aim of this study was to evaluate the long-term prognosis in such patients.

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“…4) On the other hand, an aneurysm is generally a fibrous, saccular lesion with paradoxical contraction.…”

Section: Discussionmentioning

confidence: 99%

A Surgical Case of Apical Aneurysm without Hypertrophic Cardiomyopathy

Matsuyama

Nakayama

Hagiwara

2012

ATCS

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Diagnosis and outcome in congenital ventricular diverticulum and aneurysm

Abstract: Congenital ventricular diverticulum and aneurysm are two distinct entities, with different histologic and morphologic characteristics and outcomes. Assessment of these differential characteristics is of importance for prenatal counseling.

Cited by 138 publications

References 11 publications

Ventricular Tachycardia Originating from a Heart-shaped Idiopathic Left Ventricular Aneurysm Diagnosed on a Three-dimensional Electroanatomical Mapping System Integrated with CT Imaging

Ventricular Tachycardia Originating from a Heart-shaped Idiopathic Left Ventricular Aneurysm Diagnosed on a Three-dimensional Electroanatomical Mapping System Integrated with CT Imaging

Long-Term Prognosis of Adult Patients With Isolated Congenital Left Ventricular Aneurysm or Diverticulum and Abnormal Electrocardiogram Patterns

A Surgical Case of Apical Aneurysm without Hypertrophic Cardiomyopathy

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