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Multiple left ventricular diverticula detected by second harmonic imaging: a case report.
Masaki Takahashi1, Toshio Nishikimi, Kouichi Tamano
1Department of Hypertension and Cardiorenal Medicine, Dokkyo University School of Medicine, Mibu, Tochigi, Japan.
Summary
This study highlights the diagnostic utility of second harmonic imaging in identifying multiple left ventricular diverticula, a rare congenital anomaly. This advanced echocardiography technique aids in detecting these abnormalities, crucial for preventing serious complications like systemic thromboembolism.
Area of Science:
- Cardiology
- Medical Imaging
- Congenital Anomalies
Background:
- Left ventricular diverticula (LVD) are rare congenital anomalies.
- They can lead to serious complications, including systemic thromboembolism.
- Conventional echocardiography may not always detect LVD.
Purpose of the Study:
- To evaluate the diagnostic capability of second harmonic imaging in identifying left ventricular diverticula.
- To report a case of multiple left ventricular diverticula diagnosed using advanced echocardiography.
Main Methods:
- A 51-year-old male with chest pain underwent conventional 2D echocardiography.
- Second harmonic imaging was employed to visualize the left ventricle.
- Left ventriculography was used for confirmation of findings.
Main Results:
- Conventional echocardiography showed normal left ventricular function.
- Second harmonic imaging revealed three left ventricular diverticula (two noncontractile, one contractile).
- Diagnosis was confirmed by left ventriculography.
Conclusions:
- Second harmonic imaging enhances visualization of left ventricular endocardial borders, proving useful for diagnosing LVD.
- Early diagnosis and management, such as anticoagulant therapy, are vital for preventing complications associated with LVD.