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Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make

Lloyd Halpern1, Carl Garabedian2, Neil K Worrall3

  • 1Pediatric Anesthesiologist, Shriner's Hospital for Children, 911 W. 5TH Avenue Spokane, Washington 99204, USA.

Case Reports in Cardiology
|December 12, 2018
PubMed

Insights

Congenital left ventricular diverticulum (CVD) and aneurysm (CVA) are rare heart anomalies. Early diagnosis and differentiation are crucial for appropriate treatment and patient management.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Medical Imaging

Background:

  • Congenital ventricular diverticulum (CVD) and congenital ventricular aneurysm (CVA) are rare outpouchings of the left ventricle.
  • Differentiating between CVD and CVA is critical for guiding treatment decisions.

Observation:

  • A case involving dextrocardia, Tetralogy of Fallot, and a congenital left ventricular apical diverticulum is presented.
  • The diagnosis was made following the induction of anesthesia.

Findings:

  • CVD and CVA can manifest from the antenatal period to late adulthood.
  • Morphology, location, and symptoms vary significantly between these anomalies.
  • Echocardiography is the primary diagnostic tool for characterizing these lesions.

Implications:

  • Intraoperative echocardiography may reveal these anomalies, necessitating prompt communication with the surgical team.
  • Accurate characterization prior to incision is essential for developing a targeted treatment plan.
  • Awareness of these rare congenital heart conditions is vital for cardiothoracic anesthesiologists.

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