title: Diverticular and aneurysmal structures of the left ventricle in adults: report of a case within the context of a literature review.
abstract: Left ventricular outpouchings are increasingly detected on cardiovascular imaging. Herein, we describe the case of a 45-year-old man who underwent noncardiac preoperative imaging and was found to have an asymptomatic left ventricular outpouching. The patient underwent successful surgical repair of the structure. When left ventricular outpouchings are detected, the main differential diagnoses are pseudoaneurysm, aneurysm, and diverticulum. The outcomes for these conditions differ substantially, and accurate diagnosis can be crucial in making clinical decisions. We review the relevant medical literature, outline the natural history of these left ventricular abnormalities, and discuss options in regard to their management.
authors.affiliation: Einstein Institute for Heart & Vascular Health, Albert Einstein Medical Center, Philadelphia, Pennsylvania 19141, USA.
authors.forename: Premraj
authors.initials: P
authors.lastname: Makkuni
authors.forename: Morris N
authors.initials: MN
authors.lastname: Kotler
authors.forename: Vincent M
authors.initials: VM
authors.lastname: Figueredo
mesh_terms: D058070:Asymptomatic Diseases; D006348:Cardiac Surgical Procedures; D003937:Diagnosis, Differential; D004240:Diverticulum / Q000175:diagnosis* / Q000601:surgery; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000601:surgery; D006331:Heart Diseases / Q000175:diagnosis* / Q000601:surgery; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D015635:Radionuclide Ventriculography; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color