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.
Insights
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.
Abstract:
Isolated congenital left ventricular diverticulum is a rare cardiac malformation. Here, we report the case of a 33-year-old woman who had suffered from recurrent transient ischemic attacks for 6 years. Preoperative cardiac magnetic resonance imaging and computed tomography angiography revealed a diverticulum near the apex. The diverticulum was successfully obliterated by cardiopulmonary bypass. We suggest that isolated congenital left ventricular diverticulum can be easily corrected with a low surgical risk by patch repair and plication techniques.
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