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An unfortunate case of subaortic left ventricular diverticulum
P Vinodh Kumar1, Asha Moorthy2
1Assistant Professor, Department of Cardiology, Saveetha Medical College, Thandalam, Tamil Nadu, India.
Indian Heart Journal
|October 19, 2016
Summary
A rare left ventricle diverticulum caused exertional angina by compressing coronary arteries. Despite diagnosis, the patient experienced sudden cardiogenic shock and could not be saved, highlighting the critical nature of this condition.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Cardiac Surgery
Background:
- Exertional angina is a common symptom of coronary artery disease.
- Left ventricle diverticulum is a rare congenital anomaly.
Observation:
- A 38-year-old man presented with a year of exertional angina.
- Diagnostic tests revealed phasic systolic compression of the left main and proximal left circumflex coronary arteries.
- Echocardiography and MRI identified a subaortic left ventricle diverticulum as the cause of coronary compression.
Findings:
- The left ventricle diverticulum was compressing the coronary arteries during systole.
- The patient experienced sudden deterioration with cardiogenic shock before planned surgical intervention.
Implications:
- This case underscores the importance of considering rare cardiac anomalies in the differential diagnosis of angina.
- Prompt diagnosis and management of left ventricle diverticulum are crucial to prevent life-threatening complications.
- Further research into the pathophysiology and surgical outcomes of left ventricle diverticulum is warranted.
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