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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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A case of congenital left ventricular diverticulum in an adult patient

Zhen-Zhen Li1, Wen-Long Zhang2, Mei Zhu1

  • 1Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.

Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc
|December 8, 2022
PubMed

Insights

Congenital left ventricular diverticulum (CLVD) is a rare heart malformation. Echocardiography is the preferred diagnostic tool for CLVD, aiding in successful surgical repair.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Cardiac Surgery

Background:

  • Congenital left ventricular diverticulum (CLVD) is a rare cardiac malformation.
  • While frequently reported in pediatric cases, adult CLVD is less common.
  • This study presents a retrospective analysis of a successful adult CLVD surgical case.

Observation:

  • Echocardiography revealed a thinned, bulging apical myocardium with reduced contractility.
  • Intraoperative findings confirmed an enlarged left ventricle with a diverticulum at the apex.
  • Postoperative pathology showed the resected sample consisted of complete myocardial tissue.

Findings:

  • The case highlights the successful surgical management of CLVD in an adult.
  • Echocardiography demonstrated characteristic imaging features of CLVD.
  • The repair utilized a bovine pericardial patch for the diverticulum's internal orifice.

Implications:

  • This case contributes to understanding adult CLVD presentations and management.
  • Echocardiography's noninvasive nature makes it ideal for diagnosing ventricular diverticula.
  • Improved diagnostic capabilities can lead to better patient outcomes for CLVD.

Keywords:
congenitaldiverticulumechocardiographyleft ventricular

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