Isolated Congenital Left Ventricular Diverticulum in Adults
Joon Chul Jung1, Hong Chul Oh1, Kyung-Hwan Kim1
1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
The Korean Journal of Thoracic and Cardiovascular Surgery
|October 29, 2015
Summary
Congenital left ventricular diverticulum, a rare heart defect, can cause transient ischemic attacks. Surgical obliteration using patch repair and plication techniques offers a low-risk correction for this cardiac malformation.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Isolated congenital left ventricular diverticulum is a rare cardiac malformation.
- Recurrent transient ischemic attacks (TIAs) can be a presenting symptom.
- Diagnosis often requires advanced cardiac imaging.
Observation:
- A 33-year-old woman presented with a 6-year history of recurrent TIAs.
- Cardiac MRI and CT angiography identified a left ventricular diverticulum near the apex.
- The diverticulum was successfully surgically obliterated.
Findings:
- Successful surgical obliteration of the congenital left ventricular diverticulum was achieved.
- The procedure was performed using cardiopulmonary bypass.
- Patch repair and plication techniques were utilized for correction.
Implications:
- Congenital left ventricular diverticulum can be effectively treated surgically.
- Surgical correction carries a low risk of complications.
- This case highlights a viable treatment option for patients with this rare condition.
More Related Videos
Related Concept Videos
Mitral Stenosis I: Introduction
1.3K
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
1.3K
Mitral Regurgitation I: Introduction
1.0K
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
1.0K
Cardiac Catheterization III: Left Heart Catheterization
1.1K
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
1.1K
Mitral Valve Prolapse I: Introduction
925
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
925
Mitral Stenosis II: Clinical features and Diagnostic Tests
447
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
447
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
884
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
884


