Multiple Congenital Left Ventricular Diverticula and Aneurysm

Hubáček, J.; Brydie, Alan; Jackson, Simon

doi:10.1016/j.jacc.2008.11.048

Cited by 5 publications

(4 citation statements)

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“…CVD are typically single but may be multiple. [ 15 ] Diverticula diameter may range from 0.5 to 9 cm. [ 6 ] They are most often found in the LV,[ 16 ] but all chambers may be affected[ 5 ] and rarely may be multiple (“ventricular diverticulosis”).…”

Section: Urrent D Efinitions and mentioning

confidence: 99%

Multimodality Imaging and Clinical Significance of Congenital Ventricular Outpouchings: Recesses, Diverticula, Aneurysms, Clefts, and Crypts

Cresti

Cannarile

Aldi

et al. 2018

J Cardiovasc Echography

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The high spatial resolution of cardiac computed tomography (CT) and cardiac magnetic resonance (CMR) permit the diagnosis of congenital ventricular outpouchings (CVOs), including congenital ventricular diverticula (CVD), congenital ventricular aneurysms (CVA), clefts, and crypts. A unique classification has not been established, and these terms are used interchangeably with confounding terminology. Moreover, their significance is not univocal. A research was performed using PubMed on six subjects: (1) congenital left ventricular outpouchings; (2) congenital ventricular diverticulum; (3) congenital ventricular aneurysm; (4) ventricular clefts; (5) ventricular crypts; and (6) ventricular crevices. Usually, CVOs are small with a preserved contraction and in asymptomatic patients, the clinical relevance may be minimal, although electrocardiographic anomalies are often present. CVA and diverticula may carry an embolic risk and cases of arrhythmia and rupture are described. In the presence of clefts, or crypts a cardiomyopathy should be excluded. A simple classification can be proposed: CVD extend beyond the myocardial wall and fibrous type may be termed CVA, acquired forms should be kept distinct. Clefts, or crypts, are small recesses extending for more than 50% of the ventricular wall but not beyond its margin. The presence of fibrosis may be evaluated by CMR. A multicenter prospective registry would be helpful to investigate potential clinical implications and to exclude dubious forms of hypertrophic cardiomyopathy or ventricular noncompaction. In conclusion, CVOs have been described with different terminologies and classifications. Their significance needs to be interpreted in the clinical setting and with the help of a multimodality imaging, particularly of CMR.

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Section: Urrent D Efinitions and mentioning

confidence: 99%

Multimodality Imaging and Clinical Significance of Congenital Ventricular Outpouchings: Recesses, Diverticula, Aneurysms, Clefts, and Crypts

Cresti

Cannarile

Aldi

et al. 2018

J Cardiovasc Echography

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“…Five confusing nomenclature are used to describe these protrusions from the left ventricle (LV), including accessory LV (ALV), LVA, LVD, left ventricular accessory chamber (LVAC), and double‐chambered LV (DCLV) . The definitions of these terms are not adequate to include all the congenital LVOs; therefore, cases with mixed criteria are frequent . These definitions also do not infer any information regarding treatment strategy and prognosis.…”

Section: Introductionmentioning

confidence: 99%

Congenital Left Ventricular Outpouchings: A Systematic Review of 839 Cases and Introduction of a Novel Classification after Two Centuries

2014

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“…6,7 However, multiple ventricular diverticula are very rare. 1,8,9 Congenital left ventricular outpouchings should also be distinguished from other causes of left ventricular aneurysm such as post-cardiac surgery, trauma, Chagas disease, tuberculosis, and idiopathic. 10,11 Although it is a rare cause of non-ischaemic cardiomyopathy, the finding of apical wall dyskinesia or apical ventricular aneurysm in a patient with symptoms of heart failure and no evidence of myocardial ischemia should prompt the consideration for Chagas disease.…”

Section: Discussionmentioning

confidence: 99%