title: A rare association of left ventricular diverticulum and noncompaction: continuum of common developmental abnormality?
abstract: A previously healthy 16-year-old girl presented with history of fever of 3 months duration without any significant clinical finding on examination. Transthoracic echocardiography (TTE) revealed moderate pericardial effusion and later diagnosed as tubercular in etiology. Besides, TTE also showed an incidental finding of large left ventricular (LV) diverticulum in submitral region along the postero-basal segment and left ventricular noncompaction (LVNC). Nonapical LV diverticulum is a rare variant of this uncommon congenital condition and its association with LVNC has not been reported in literature. Patient was discharged on antitubercular therapy for pericardial effusion and advised for 6 monthly follow-up for diverticulum.
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India. dryadvinder@hotmail.com
authors.forename: Yadvinder
authors.initials: Y
authors.lastname: Singh
authors.forename: Bhupinder
authors.initials: B
authors.lastname: Singh
authors.forename: Shivakumar
authors.initials: S
authors.lastname: Bhairappa
authors.forename: Khamitkar Shankar Rao
authors.initials: KS
authors.lastname: Subramani
authors.forename: Naviluru M
authors.initials: NM
authors.lastname: Prasad
authors.forename: Manjunath
authors.initials: M
authors.lastname: C Nanjappa
mesh_terms: D000293:Adolescent; D004240:Diverticulum / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications* / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D010490:Pericardial Effusion / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D010493:Pericarditis / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D035583:Rare Diseases; D016896:Treatment Outcome; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery
keywords: left ventricular diverticulum; mitral regurgitation; noncompaction; transthoracic echocardiography