Left ventricular pseudoaneurysm complicating a ruptured isolated congenital diverticulum
Liang Fang1, Chao Xue2, Ying Zhao2
1Department of Ultrasound, South Hospital District of Affiliated Hospital of Chengde Medical College, Chengde, China.
Echocardiography (Mount Kisco, N.Y.)
|May 17, 2020
Summary
A rare congenital left ventricular (LV) diverticulum ruptured, causing a pseudoaneurysm in a 41-year-old woman presenting with chest tightness. Surgical repair was successful, confirming the congenital origin.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Congenital left ventricular (LV) diverticulum is a rare condition.
- LV diverticula can present with various complications, including pseudoaneurysm formation.
- Diagnosis and management require a multidisciplinary approach.
Observation:
- A 41-year-old woman presented with chest tightness and shortness of breath.
- Transthoracic echocardiogram revealed a left ventricular pseudoaneurysm of the inferior wall.
- Coronary angiography showed normal coronary arteries.
Findings:
- Pathological examination confirmed the pseudoaneurysm resulted from a ruptured isolated congenital LV diverticulum.
- Left ventricular systolic function was preserved despite the pseudoaneurysm.
- Surgical repair using a pericardial patch was successfully performed.
Implications:
- This case highlights the importance of considering congenital LV diverticulum in the differential diagnosis of LV pseudoaneurysms.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
- Understanding the etiology of LV pseudoaneurysms can guide treatment strategies.
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