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Cerebral thromboembolism in a patient awaiting surgery for left ventricular diverticulum

Koji Nakanishi1, Shigeru Sakurai, Takuya Kawabata

  • 1Department of Cardiovascular Surgery, Saiseikai Imabari Hospital, 7-1-6 Kita-mura, Imabari, Ehime 799-1592, Japan.

Interactive Cardiovascular and Thoracic Surgery
|December 2, 2010
PubMed

Insights

Fibrous left ventricular diverticulum, often silent, can lead to fatal complications like stroke. This case highlights the risk of cerebral thromboembolism in patients awaiting surgery for this condition.

Area of Science:

  • Cardiology
  • Neurology
  • Vascular Surgery

Background:

  • Fibrous-type left ventricular (LV) diverticulum is a rare cardiac anomaly.
  • While often asymptomatic, LV diverticula carry risks of severe complications, including rupture and systemic embolism.

Observation:

  • An 81-year-old woman with a diagnosed LV diverticulum presented for surgical correction.
  • During preoperative admission, she developed neurological symptoms, including headache.
  • Magnetic resonance imaging confirmed multiple cerebral infarctions, indicating embolic events.

Findings:

  • The patient experienced multiple cerebral thromboembolisms, a potentially fatal complication, while awaiting surgical repair of her LV diverticulum.
  • This suggests a link between the cardiac anomaly and embolic neurological events.

Implications:

  • Surgical intervention for even asymptomatic LV diverticula may be warranted to prevent life-threatening systemic thromboembolism.
  • Early diagnosis and management are crucial for patients with LV diverticula to mitigate risks of neurological complications.

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