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Accessory Left Ventricle: A Mistaken Case of Ventricular Septal Defect!
Sameer S Chaudhari1, Pankaj Madan2
1Novant Health Heart & Vascular Institute, Monroe, North Carolina, USA.
JACC. Case Reports
|July 28, 2021
Summary
Physical examination revealed a rare congenital heart condition, an accessory left ventricle, misdiagnosed initially as a ventricular septal defect. This case highlights the importance of physical exam findings in diagnosing uncommon cardiac anomalies.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Diagnostic Imaging
Background:
- Physical examination skills are crucial in cardiology.
- Misdiagnosis can occur when imaging findings conflict with clinical examination.
- Congenital cardiac anomalies require accurate and timely diagnosis.
Purpose of the Study:
- To report a case of accessory left ventricle.
- To emphasize the role of physical examination in diagnosing rare cardiac conditions.
- To highlight discordance between imaging and physical exam findings.
Main Methods:
- Case report presentation.
- Review of patient's clinical presentation and diagnostic workup.
- Comparison of physical examination findings with imaging results.
Main Results:
- A patient initially diagnosed with ventricular septal defect was found to have an accessory left ventricle.
- Discordance between physical examination and imaging led to the correct diagnosis.
- Accessory left ventricle is a rare, benign congenital cardiac condition.
Conclusions:
- Physical examination remains a vital tool in diagnosing congenital cardiac conditions.
- Careful correlation of clinical findings with imaging is essential.
- Rare cardiac anomalies may be overlooked without thorough physical assessment.
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