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Published on: October 28, 2020
Left ventricular diverticulum: A case report and review of the literature
Tran Quang Luc1, Pham Duy Hien2, Tran Phan Ninh2
1Department of Radiology, Viet Tri general hospital, Phu Tho, Vietnam.
Insights
Left ventricular diverticulum, a rare congenital heart defect, can lead to severe complications. Early diagnosis and surgical resection in infants can ensure good heart function and prevent adverse outcomes.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Left ventricular diverticulum is a rare congenital outpouching of the left ventricle.
- Often associated with other congenital cardiac anomalies and midline defects, diagnosis typically occurs in childhood.
- While often asymptomatic, potential complications include infarction, heart failure, and life-threatening rupture.
Observation:
- A 3-month-old boy presented with a diagnosed left ventricular diverticulum.
- Diagnostic tools utilized included Doppler ultrasound and cardiac MSCT (multi-source computed tomography).
Findings:
- Complete surgical resection of the diverticulum was successfully performed.
- Post-surgery, the patient remained asymptomatic with preserved cardiac function at a 2-month follow-up.
Implications:
- Early detection and surgical intervention are crucial for managing left ventricular diverticulum.
- Complete resection can lead to favorable outcomes, preventing severe complications in affected infants.
- This case highlights the importance of timely diagnosis and treatment for congenital left ventricular anomalies.
Abstract:
Left ventricular diverticulum is a rare congenital left ventricular outpouchings. The disease is often diagnosed during childhood because it is frequently associated with midline thoracoabdominal defects and other congenital cardiac anomalies. Most cases are asymptomatic, often discovered incidentally. Some complications have been reported including infarction, arrhythmia, heart failure. The most severe complication is rupture of the diverticulum, which can cause a patient's death. Therefore, this congenital defect should be detected early to assess potential risks for appropriate treatment. In this article, we report a case of a 3-month-old boy with left ventricular diverticulum diagnosed with Doppler ultrasound and cardiac MSCT. Complete resection was undertaken. The patient remained asymptomatic with good heart function 2 months after surgery.
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