Cerebral thromboembolism in a patient awaiting surgery for left ventricular diverticulum.
Fibrous-type left ventricular (LV) diverticulum is usually discovered incidentally. Most fibrous diverticula are clinically silent; they may, however, cause several fatal complications, such as spontaneous rupture. Here, we report a case in which multiple cerebral thromboembolisms occurred while a patient with a fibrous LV diverticulum was awaiting surgery. An 81-year-old woman was diagnosed as having an LV diverticulum and was scheduled for open surgery. Following admission for correction, she complained of headache, and magnetic resonance imaging revealed multiple cerebral infarctions. We recommend surgical treatment for asymptomatic LV diverticula to prevent systemic thromboembolism.
Department of Cardiovascular Surgery, Saiseikai Imabari Hospital, 7-1-6 Kita-mura, Imabari, Ehime 799-1592, Japan.
Koji
K
Nakanishi
Shigeru
S
Sakurai
Takuya
T
Kawabata
Shuji
S
Shimizu
D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D004240:Diverticulum / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000175:diagnosis* / Q000601:surgery; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D020767:Intracranial Thrombosis / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014850:Waiting Lists