[Biventricular diverticulosis associated with rheumatic heart disease: apropos of a case].
We report a case of a 58-year-old woman with rheumatic mitral stenosis scheduled for percutaneous valvuloplasty. Prior left and right ventricular angiograms showed multiple diverticula at left ventricular apical and diaphragmatic walls and right ventricular diaphragmatic wall. Chest x-ray and echocardiogram were normal. Magnetic resonance imaging was concordant with catheterization findings and ruled out other cardiac malformations. The risk of ventricular perforation changed our indication of percutaneous valvuloplasty in favor of open heart commissurotomy.
Fuertes Beneitez
J
J
Unidad Médico-Quirúrgica de Cardiología, Hospital La Paz, Madrid.
Merino Llorens
J L
JL
Jiménez Borreguero
J
J
Maté Benito
I
I
Sobrino Daza
N
N
García de Vinuesa
P G
PG
Robles
P
P
Galeote
G
G
Sobrino Daza
J A
JA
D006348:Cardiac Surgical Procedures / Q000379:methods; D004240:Diverticulum / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000601:surgery; D012214:Rheumatic Heart Disease / Q000150:complications* / Q000601:surgery; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000601:surgery