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Published on: February 11, 2022
Case series: Congenital left ventricular diverticulum
Dharita Shah1, C Prem Kumar, Mukesh S Shah
1Department of Radio-Diagnosis, Seth Vadilal Sarabhai General Hospital, Ellisbridge, Ahmedabad - 380 016, Gujarat, India.
Insights
Congenital left ventricular diverticulum is a rare heart defect. This report details two neonates diagnosed with this condition alongside an epigastric hernia.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Congenital left ventricular diverticulum is a rare cardiac malformation.
- It presents as a localized outpouching from the cardiac chamber.
- While often asymptomatic, it can lead to serious complications.
Observation:
- This case report focuses on two neonates.
- Both neonates were diagnosed with congenital left ventricular apical diverticulum.
- A concurrent diagnosis of epigastric hernia was noted in both cases.
Findings:
- Congenital left ventricular apical diverticulum can be diagnosed using various imaging modalities including ultrasound (USG), echocardiography, CT angiography, and MRI.
- The association between congenital left ventricular apical diverticulum and epigastric hernia in neonates is highlighted.
- This specific co-occurrence is uncommon and warrants further investigation.
Implications:
- Early diagnosis and management of congenital left ventricular diverticulum are crucial to prevent potential complications.
- The co-occurrence with epigastric hernia may suggest a shared developmental pathway or syndromic association.
- Further research is needed to understand the relationship between these two conditions and optimize treatment strategies.
Abstract:
Congenital left ventricular diverticulum is a rare cardiac malformation characterized by a localized outpouching from the cardiac chamber. The patient is usually asymptomatic. However, complications like embolism, infective endocarditis, arrhythmia and, rarely, rupture can be the initial presentation. Diagnosis can be established by USG, echocardiography, CT angiography, and MRI. We report here two neonates with congenital left ventricular apical diverticulum associated with epigastric hernia.
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