An Isolated Congenital Left Ventricular Diverticulum with Mitral Valve Endocarditis
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Published on: February 11, 2022
Bo Jiang1, Yi-feng Yang1, Xi Wang1
1Department of Cardiovascular Surgery, Second Xiangya Hospital of Central South University, Changsha, Hunan, P.R. China.
Insights
Congenital left ventricular diverticulum is a rare heart defect. Surgical repair of a diverticulum with mitral valve endocarditis was successfully performed using continuous suture.
Area of Science:
- Cardiology
- Congenital Heart Disease
Background:
- Congenital left ventricular diverticulum (CLVD) is a rare cardiac malformation.
- CLVD can lead to severe complications including heart failure, arrhythmia, and endocarditis.
Observation:
- A case of isolated CLVD with co-occurring mitral valve infective endocarditis and anomalous single coronary artery is presented.
- These anomalies were identified during intra-operative assessment.
Findings:
- The patient underwent successful surgical repair of the CLVD.
- Repair was achieved by suturing the internal opening of the diverticulum within the left ventricle.
Implications:
- This case highlights successful surgical management of CLVD complicated by infective endocarditis.
- Suturing the internal opening is an effective technique for CLVD repair.
- Early surgical intervention is crucial for symptomatic patients with CLVD to prevent major complications.
Abstract:
Congenital left ventricular diverticulum is a rare cardiac malformation, which could result in rupture, thrombosis, congestive heart failure, infective endocarditis, ventricular arrhythmia and aortic insufficiency. Most authors propose that patients who are symptomatic and have a higher risk for major complications should undergo surgical treatment. We present a case of isolated congenital left ventricular diverticulum with mitral valve infective endocarditis and anomalous single coronary artery observed intra-operatively. The patient underwent successful surgical repair of the diverticulum by continuous suture of the internal opening inside the left ventricle.
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