Congenital left ventricular diverticulum in an adult patient.
A 64-year-old woman was referred to our hospital with palpitation and exertional dyspnea. An electrocardiogram showed sinus rhythm, but supraventricular tachycardia was recorded on Holter monitoring. Multidetector computed tomography revealed a small left ventricular outpouching in the apex, with a narrow connection to the ventricle and normal coronary arteries. Surgery for the left ventricular pouch was performed successfully. Histological examination demonstrated that the left ventricular diverticulum consisted of three layers of the ventricular wall, with the myocardial layer mostly replaced by fibrous tissue. The patient has been well after surgery.
Department of Cardiovascular Surgery, Kobe Rosai Hospital, Hyogo, Japan.
Nobuchika
N
Ozaki
Department of Cardiovascular Surgery, Kobe Rosai Hospital, Hyogo, Japan.
Masanobu
M
Sato
Department of Cardiovascular Surgery, Kobe Rosai Hospital, Hyogo, Japan.
Kyozo
K
Inoue
Department of Cardiovascular Surgery, Kobe Rosai Hospital, Hyogo, Japan.
Noboru
N
Wakita
D001706:Biopsy; D004240:Diverticulum / Q000151:congenital* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D015716:Electrocardiography, Ambulatory; D005260:Female; D006322:Heart Aneurysm / Q000151:congenital* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D016896:Treatment Outcome; D016277:Ventricular Function, Left
Adult; Diverticulum; Heart aneurysm; Heart defects; Tachycardia; congenital; supraventricular