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Repair of an isolated congenital left ventricular diverticulum

Pranya Sakiyalak1, Worawong Slisatkorn, Somchai Sriyoschati

  • 1Department of Surgery, Division of Cardiothoracic and Vascular Surgery, Siriraj Hospital, Mahidol University, Bangkoknoi, Bangkok, Thailand. sipya@mahidol.ac.th

Journal of Cardiac Surgery
|November 20, 2008
PubMed

Insights

Left ventricular diverticulum, a rare congenital heart defect, presents uniquely in children and adults. Surgical correction proved effective for both a boy with heart failure and an asymptomatic man.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Left ventricular diverticulum (LVD) is an uncommon congenital cardiac anomaly.
  • LVD can manifest with diverse clinical presentations, impacting different age groups.
  • Early diagnosis and intervention are crucial for managing LVD.

Observation:

  • Two distinct cases of isolated LVD were identified.
  • Case 1: A 9-year-old boy presented with congestive heart failure and ventricular arrhythmia.
  • Case 2: A 51-year-old male was asymptomatic with an abnormal electrocardiogram.

Findings:

  • Cardiac magnetic resonance imaging confirmed the diagnosis in both patients.
  • Both individuals underwent successful surgical correction of the left ventricular diverticulum.
  • The varied clinical presentations highlight the spectrum of LVD manifestation.

Implications:

  • This report underscores the importance of considering LVD in patients with unexplained cardiac symptoms or abnormalities.
  • Successful surgical outcomes suggest that LVD is treatable, even with varied presentations.
  • Further research into LVD's pathophysiology and long-term outcomes is warranted.

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