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.

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