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Case series: Congenital left ventricular diverticulum.

Shah D, Kumar CP, Shah MS, Baraiya M - Indian J Radiol Imaging (2010)

Bottom Line: The patient is usually asymptomatic.However, complications like embolism, infective endocarditis, arrhythmia and, rarely, rupture can be the initial presentation.We report here two neonates with congenital left ventricular apical diverticulum associated with epigastric hernia.

View Article: PubMed Central - PubMed

Affiliation: Department of Radio-Diagnosis, Seth Vadilal Sarabhai General Hospital, Ellisbridge, Ahmedabad - 380 016, Gujarat, India.

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.

No MeSH data available.


Related in: MedlinePlus

Case 1: Thin coronal (A) and sagittal (B) multiplanar (MPR) CT scan images show a tubular channel (arrow) arising from the cardiac apex and extending up to the umbilical region. The dextraposed aorta is seen arising from the right ventricle. A narrow pulmonary artery can be seen arising from the right ventricle. The diverticulum arises from the cardiac apex. Axial CT scan (C) shows an umbilical hernia containing the left lobe of the liver and the ventricular diverticulum. Sagittal CT scan reconstruction (D) shows the sternum with four ossification centers
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Figure 0003: Case 1: Thin coronal (A) and sagittal (B) multiplanar (MPR) CT scan images show a tubular channel (arrow) arising from the cardiac apex and extending up to the umbilical region. The dextraposed aorta is seen arising from the right ventricle. A narrow pulmonary artery can be seen arising from the right ventricle. The diverticulum arises from the cardiac apex. Axial CT scan (C) shows an umbilical hernia containing the left lobe of the liver and the ventricular diverticulum. Sagittal CT scan reconstruction (D) shows the sternum with four ossification centers

Mentions: The angiogram showed a large tubular contrast-filled channel arising from the left ventricular apex [Figure 3], narrowing as it approached the umbilicus. Both the pulmonary artery and the aorta could be seen arising from the right ventricle. The pulmonary artery seemed narrow at its origin [Figure 4]. Herniating bowel and the left lobe of the liver could be seen at the site of the swelling in the umbilical region [Figure 3]. The sternum was normal and showed four sternal ossification centers [Video 2]. Figure 5, a photograph of the baby, shows the swelling in the umbilical and supra-umbilical region.


Case series: Congenital left ventricular diverticulum.

Shah D, Kumar CP, Shah MS, Baraiya M - Indian J Radiol Imaging (2010)

Case 1: Thin coronal (A) and sagittal (B) multiplanar (MPR) CT scan images show a tubular channel (arrow) arising from the cardiac apex and extending up to the umbilical region. The dextraposed aorta is seen arising from the right ventricle. A narrow pulmonary artery can be seen arising from the right ventricle. The diverticulum arises from the cardiac apex. Axial CT scan (C) shows an umbilical hernia containing the left lobe of the liver and the ventricular diverticulum. Sagittal CT scan reconstruction (D) shows the sternum with four ossification centers
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2963743&req=5

Figure 0003: Case 1: Thin coronal (A) and sagittal (B) multiplanar (MPR) CT scan images show a tubular channel (arrow) arising from the cardiac apex and extending up to the umbilical region. The dextraposed aorta is seen arising from the right ventricle. A narrow pulmonary artery can be seen arising from the right ventricle. The diverticulum arises from the cardiac apex. Axial CT scan (C) shows an umbilical hernia containing the left lobe of the liver and the ventricular diverticulum. Sagittal CT scan reconstruction (D) shows the sternum with four ossification centers
Mentions: The angiogram showed a large tubular contrast-filled channel arising from the left ventricular apex [Figure 3], narrowing as it approached the umbilicus. Both the pulmonary artery and the aorta could be seen arising from the right ventricle. The pulmonary artery seemed narrow at its origin [Figure 4]. Herniating bowel and the left lobe of the liver could be seen at the site of the swelling in the umbilical region [Figure 3]. The sternum was normal and showed four sternal ossification centers [Video 2]. Figure 5, a photograph of the baby, shows the swelling in the umbilical and supra-umbilical region.

Bottom Line: The patient is usually asymptomatic.However, complications like embolism, infective endocarditis, arrhythmia and, rarely, rupture can be the initial presentation.We report here two neonates with congenital left ventricular apical diverticulum associated with epigastric hernia.

View Article: PubMed Central - PubMed

Affiliation: Department of Radio-Diagnosis, Seth Vadilal Sarabhai General Hospital, Ellisbridge, Ahmedabad - 380 016, Gujarat, India.

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.

No MeSH data available.


Related in: MedlinePlus