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Updated: Nov 26, 2025
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Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
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Congenital right ventricular diverticulum: An atypical presentation
Debasis Das1, Nilanjan Dutta1, Arya Kamal Das1
1Department of Cardiac Surgery, Narayana Superspeciality Hospital, Howrah, West Bengal, India.
Annals of Pediatric Cardiology
|December 14, 2020
Summary
Congenital ventricular diverticulum is a rare heart defect. This case highlights a unique presentation of a right ventricular diverticulum causing an epigastric mass in an infant with complex congenital heart disease.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Congenital ventricular diverticulum is a rare cardiac anomaly.
- Often asymptomatic, but can present with other congenital cardiac defects.
- This case involves a 4-month-old infant with dextrocardia, ventricular septal defect, and pulmonary hypertension.
Purpose of the Study:
- To report a rare case of congenital right ventricular diverticulum.
- To describe its unusual presentation as an epigastric pulsating mass.
- To emphasize the importance of considering rare diagnoses in complex pediatric cardiac cases.
Main Methods:
- Case presentation of a 4-month-old infant.
- Clinical examination and diagnostic imaging (details not provided in abstract).
- Histopathological confirmation of the ventricular diverticulum.
Main Results:
- The infant presented with dextrocardia, large inlet ventricular septal defect, single ventricle physiology, and severe pulmonary artery hypertension.
- A right ventricular diverticulum extended through the foramina of Morgagni, causing an epigastric pulsating mass.
- Histopathology confirmed the diagnosis of right ventricular diverticulum.
Conclusions:
- Congenital right ventricular diverticulum can present with an abdominal pulsating mass, a rare clinical finding.
- Early diagnosis and management are crucial in infants with complex congenital heart disease.
- Histopathology is essential for definitive diagnosis.
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