[Clinical characteristics of congenital ventricular aneurysm and diverticula in inland China].
OBJECTIVE
To summarize the clinical characteristics of congenital ventricular aneurysm and diverticula in inland China.


METHODS
To identify the literature of congenital aneurysm and diverticula from Wanfang, China National Knowledge Infrastructure (CNKI) and PubMed databases, and to analyze the clinical characteristics of congenital aneurysm and diverticula from January of 2001 to December of 2009.


RESULTS
A total of 116 patients [78 men, 1 - 80 (33.5 ± 21.3) years old] with congenital aneurysm or diverticula were included in 109 articles. Twenty-five patients (13 men) were congenital ventricular aneurysm, including a family of 4 patients. Ninety-one patients (65 men) were congenital ventricular diverticula. One hundred patients were detected by echocardiography during medical examination, 34 patients combined with other cardiac anomalies, 4 of which with extracardiac structures. There were 8 patients with ventricular arrhythmia, 8 patients with thrombosis, 2 patients died of cardiac rupture, 4 patients died of sudden death, surgical operation was performed in 46 patients and 3 patients received ablation procedure. All patient did not receive implantable cardioverter defibrillator (ICD) implantation.


CONCLUSIONS
Congenital ventricular aneurysm or diverticulum is a rare cardiac malformation. Most congenital left ventricular aneurysms and diverticula are asymptomatic and detected by echocardiography. Congenital ventricular aneurysm or diverticulum may cause ventricular tachycardia, ventricular wall rupture, systemic embolization or sudden death, which had to be treated individually.
Department of Cardiology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Hong-wu
HW
Chen
Ming-long
ML
Chen
Bing
B
Yang
Wei-zhu
WZ
Ju
Feng-xiang
FX
Zhang
Xiao-feng
XF
Hou
Chun
C
Chen
Qi-jun
QJ
Shan
Jian-gang
JG
Zou
Dong-jie
DJ
Xu
Ke-jiang
KJ
Cao
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D004240:Diverticulum / Q000151:congenital / Q000175:diagnosis; D005260:Female; D006322:Heart Aneurysm / Q000151:congenital / Q000175:diagnosis; D006330:Heart Defects, Congenital / Q000175:diagnosis; D006352:Heart Ventricles; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D055815:Young Adult