Left ventricular diverticulum in association with bicuspid aortic valve and pseudocoarctation: Hitherto unreported
Harsimran Bhatia1, Sanjeev Hanumanthacharya Naganur2, Arun Sharma1
1Department of Radiodiagnosis, 29751PGIMER, Chandigarh, India.
Insights
This study reports a rare case of left ventricular diverticulum in an adult, associated with bicuspid aortic valve and pseudocoarctation. This finding highlights the importance of considering rare cardiac abnormalities in adult patients.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Left ventricular diverticulum (LVD) is a rare congenital cardiac anomaly characterized by a focal protrusion of the ventricular wall.
- LVD is more frequently observed in pediatric patients and can be associated with other congenital abnormalities.
- While rare, LVD has been reported in conjunction with conditions like patent ductus arteriosus, coarctation of the aorta, and bicuspid aortic valve.
Approach:
- This report details a unique case of LVD in a 53-year-old female patient.
- The case presentation includes associated findings of a bicuspid aortic valve and pseudocoarctation of the aorta.
- A comprehensive review of the existing literature on LVD was conducted.
Key Points:
- The case highlights the occurrence of LVD in an adult, challenging the typical pediatric association.
- The co-existence of LVD with bicuspid aortic valve and pseudocoarctation is a significant finding.
- This case underscores the variability in presentation and association of LVD.
Conclusions:
- Left ventricular diverticulum can occur in adults and may be associated with other congenital cardiac anomalies.
- The findings suggest a broader spectrum of clinical presentations for LVD than previously recognized.
- Further research and case reporting are essential for a comprehensive understanding of LVD.
Abstract:
Left ventricular diverticulum is a rare cardiac abnormality characterised by focal protrusion of the ventricular wall containing all the three layers with synchronous contractility. They have been described more commonly in paediatric patients and may be seen associated with congenital midline thoracoabdominal abnormalities. There are few reports of left ventricular diverticulum in cases of patent ductus arteriosus and coarctation with subaortic diverticula in the bicuspid aortic valve. Here, we report a case of left ventricular diverticulum in association with bicuspid aortic valve and pseudocoarctation in a 53-year-old female patient with a pertinent review of the literature.
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