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Isolated Congenital Left Ventricular Diverticulum in Adults.

Jung JC, Oh HC, Kim KH - Korean J Thorac Cardiovasc Surg (2015)

Bottom Line: Isolated congenital left ventricular diverticulum is a rare cardiac malformation.The diverticulum was successfully obliterated by cardiopulmonary bypass.We suggest that isolated congenital left ventricular diverticulum can be easily corrected with a low surgical risk by patch repair and plication techniques.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.

ABSTRACT
Isolated congenital left ventricular diverticulum is a rare cardiac malformation. Here, we report the case of a 33-year-old woman who had suffered from recurrent transient ischemic attacks for 6 years. Preoperative cardiac magnetic resonance imaging and computed tomography angiography revealed a diverticulum near the apex. The diverticulum was successfully obliterated by cardiopulmonary bypass. We suggest that isolated congenital left ventricular diverticulum can be easily corrected with a low surgical risk by patch repair and plication techniques.

No MeSH data available.


Related in: MedlinePlus

(A) Cardiac magnetic resonance imaging demonstrates a congenital LVD (arrow). (B) Coronal section. (C) Computed tomography angiography demonstrates a congenital LVD (arrow). LVD, left ventricular diverticulum.
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f1-kjtcv-48-355: (A) Cardiac magnetic resonance imaging demonstrates a congenital LVD (arrow). (B) Coronal section. (C) Computed tomography angiography demonstrates a congenital LVD (arrow). LVD, left ventricular diverticulum.

Mentions: A 33-year-old woman had a history of recurrent transient ischemic attacks (TIAs). The first episode occurred at 28 years of age. Sudden onset of right-sided weakness occurred and recovered spontaneously after 2 hours. Further, when the patient was 29 years old, sudden aphasia occurred and subsided spontaneously later in the day. Moreover, when she was 30 years old, right-sided weakness and aphasia occurred simultaneously, and she visited Seoul National University Hospital for the first time. On cardiac magnetic resonance imaging (MRI), a congenital left ventricular diverticulum (LVD) at the apical lateral wall of the left ventricle was discovered (Fig. 1A). The LVD was 2.6×3 cm in size, and the wall motion of the diverticulum was synchronous with that of the left ventricle. There was a possibility that the LVD was the source of the cardiogenic embolism that induced the recurrent TIAs. However, at that time, the patient did not undergo an operation and was just observed, with daily administration of aspirin (100 mg).


Isolated Congenital Left Ventricular Diverticulum in Adults.

Jung JC, Oh HC, Kim KH - Korean J Thorac Cardiovasc Surg (2015)

(A) Cardiac magnetic resonance imaging demonstrates a congenital LVD (arrow). (B) Coronal section. (C) Computed tomography angiography demonstrates a congenital LVD (arrow). LVD, left ventricular diverticulum.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4622031&req=5

f1-kjtcv-48-355: (A) Cardiac magnetic resonance imaging demonstrates a congenital LVD (arrow). (B) Coronal section. (C) Computed tomography angiography demonstrates a congenital LVD (arrow). LVD, left ventricular diverticulum.
Mentions: A 33-year-old woman had a history of recurrent transient ischemic attacks (TIAs). The first episode occurred at 28 years of age. Sudden onset of right-sided weakness occurred and recovered spontaneously after 2 hours. Further, when the patient was 29 years old, sudden aphasia occurred and subsided spontaneously later in the day. Moreover, when she was 30 years old, right-sided weakness and aphasia occurred simultaneously, and she visited Seoul National University Hospital for the first time. On cardiac magnetic resonance imaging (MRI), a congenital left ventricular diverticulum (LVD) at the apical lateral wall of the left ventricle was discovered (Fig. 1A). The LVD was 2.6×3 cm in size, and the wall motion of the diverticulum was synchronous with that of the left ventricle. There was a possibility that the LVD was the source of the cardiogenic embolism that induced the recurrent TIAs. However, at that time, the patient did not undergo an operation and was just observed, with daily administration of aspirin (100 mg).

Bottom Line: Isolated congenital left ventricular diverticulum is a rare cardiac malformation.The diverticulum was successfully obliterated by cardiopulmonary bypass.We suggest that isolated congenital left ventricular diverticulum can be easily corrected with a low surgical risk by patch repair and plication techniques.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.

ABSTRACT
Isolated congenital left ventricular diverticulum is a rare cardiac malformation. Here, we report the case of a 33-year-old woman who had suffered from recurrent transient ischemic attacks for 6 years. Preoperative cardiac magnetic resonance imaging and computed tomography angiography revealed a diverticulum near the apex. The diverticulum was successfully obliterated by cardiopulmonary bypass. We suggest that isolated congenital left ventricular diverticulum can be easily corrected with a low surgical risk by patch repair and plication techniques.

No MeSH data available.


Related in: MedlinePlus