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Congenital left ventricular diverticulum in a patient with coronary artery disease

Ruey-Sheng Chang1, Yi-Luan Huang, Wei-Chun Huang

  • 1Department of Medical Imaging, Chiayi Christian Hospital, Chiayi, Taiwan, R.O.C.

Journal of the Chinese Medical Association : JCMA
|August 24, 2010
PubMed

Insights

Congenital ventricular diverticulum is rare but may be increasingly detected with cardiac multidetector computed tomography (MDCT). This condition must be distinguished from postinfarct pseudoaneurysm.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Congenital ventricular diverticulum is an uncommon cardiac anomaly.
  • Advancements in cardiac multidetector computed tomography (MDCT) enhance diagnostic capabilities.

Observation:

  • A 76-year-old male presented with intermittent chest pain.
  • Cardiac MDCT revealed obstructive single-vessel coronary artery disease.
  • An incidental finding of a 10 x 9 mm left ventricular diverticulum was noted.

Findings:

  • Conventional angiography confirmed both coronary artery disease and the ventricular diverticulum.
  • The diverticulum was congenital in origin.

Implications:

  • Cardiac MDCT may lead to increased incidental detection of ventricular diverticula.
  • Accurate differentiation between congenital diverticula and postinfarct pseudoaneurysms is crucial for patient management.

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