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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) After the apex was elevated, the diverticulum was well exposed. (B) The diverticulum was incised. (C) The defect was obliterated by using a Dacron patch. (D) The apex was closed, and aneurysmorrhaphy was performed.
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f2-kjtcv-48-355: (A) After the apex was elevated, the diverticulum was well exposed. (B) The diverticulum was incised. (C) The defect was obliterated by using a Dacron patch. (D) The apex was closed, and aneurysmorrhaphy was performed.

Mentions: The operation was performed using standard cardiopulmonary bypass. Median sternotomy was conducted, and standard ascending aorta and bicaval venous cannulation was used. Several pieces of gauze were placed below the heart, and the apex was elevated. The diverticulum was located between the second diagonal branch of the left anterior descending coronary artery and the second obtuse marginal branch of the left circumflex coronary artery, near the apex (Fig. 2A). After the cardiopulmonary bypass was started, ventricular fibrillation was induced by cold cardioplegia infusion and cold saline irrigation of the heart. During ventricular fibrillation, the margin of the diverticulum was well palpated. After marking the margin of the diverticulum with a marking pen, we incised it. There was no definite thrombus in the diverticulum cavity. There was a defect measuring approximately 2×3 cm communicating with the left ventricular cavity (Fig. 2B). The defect was repaired using a Dacron patch (Bard Peripheral Vascular Inc., Tempe, AZ, USA) (Fig. 2C). Further, the remnant diverticulum cavity was filled with FloSeal (Baxter Healthcare Co., Westlake Village, CA, USA). The incised apex was closed, and aneurysmorrhaphy with plication was performed (Fig. 2D).


Isolated Congenital Left Ventricular Diverticulum in Adults.

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

(A) After the apex was elevated, the diverticulum was well exposed. (B) The diverticulum was incised. (C) The defect was obliterated by using a Dacron patch. (D) The apex was closed, and aneurysmorrhaphy was performed.
© Copyright Policy
Related In: Results  -  Collection

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

f2-kjtcv-48-355: (A) After the apex was elevated, the diverticulum was well exposed. (B) The diverticulum was incised. (C) The defect was obliterated by using a Dacron patch. (D) The apex was closed, and aneurysmorrhaphy was performed.
Mentions: The operation was performed using standard cardiopulmonary bypass. Median sternotomy was conducted, and standard ascending aorta and bicaval venous cannulation was used. Several pieces of gauze were placed below the heart, and the apex was elevated. The diverticulum was located between the second diagonal branch of the left anterior descending coronary artery and the second obtuse marginal branch of the left circumflex coronary artery, near the apex (Fig. 2A). After the cardiopulmonary bypass was started, ventricular fibrillation was induced by cold cardioplegia infusion and cold saline irrigation of the heart. During ventricular fibrillation, the margin of the diverticulum was well palpated. After marking the margin of the diverticulum with a marking pen, we incised it. There was no definite thrombus in the diverticulum cavity. There was a defect measuring approximately 2×3 cm communicating with the left ventricular cavity (Fig. 2B). The defect was repaired using a Dacron patch (Bard Peripheral Vascular Inc., Tempe, AZ, USA) (Fig. 2C). Further, the remnant diverticulum cavity was filled with FloSeal (Baxter Healthcare Co., Westlake Village, CA, USA). The incised apex was closed, and aneurysmorrhaphy with plication was performed (Fig. 2D).

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