Left ventricular diverticulum, a rare echocardiographic finding: two adult patients and review of the literature.
Congenital diverticulum of the left ventricle is a very rare cardiac abnormality characterized by a local embryological development failure of the ventricular muscle. It may present as an isolated disorder or may be associated with other cardiac abnormalities. Clinically, it has been reported that it can lead to chest pain, arrhythmias, cardiac rupture, and sudden death, although frequently the course is asymptomatic. This article presents two illustrative cases of left ventricular diverticulum. The diagnosis was made by two-dimensional echocardiography and was confirmed by cardiac catheterization. There were no other thoracoabdominal or cardiac abnormalities. The patient was asymptomatic and surgical resection was not indicated. Given the few cases reported in the medical literature, the information available is scarce; hence, physicians should be trained to make the appropriate diagnosis.
Cianciulli
Tomás Francisco
TF
Departments of Cardiology, Hospital del Gobierno de la Ciudad de Buenos Aires Dr. Cosme Argerich, Buenos Aires, Argentina. tcianciulli@fibertel.com.ar
Del Carmen Gonzalez Colaso
Patricia
P
Saccheri
María Cristina
MC
Lax
Jorge A
JA
Redruello
Héctor J
HJ
Guerra
Juan E
JE
Prezioso
Horacio Alberto
HA
Vidal
Luis A
LA
D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000209:etiology; D000790:Angiocardiography; D006328:Cardiac Catheterization; D004240:Diverticulum / Q000150:complications / Q000151:congenital / Q000000981:diagnostic imaging*; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications / Q000000981:diagnostic imaging*; D006352:Heart Ventricles / Q000002:abnormalities / Q000000981:diagnostic imaging*; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography; D055815:Young Adult