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Published on: November 1, 2018
[Ventricular diverticulum in Cantrell´s pentalogy: rare but not isolated entities]
María Concepción Rocha-Arrieta1, Antonio Arias-Díaz2, Enrique Felipe Soto Zárate1
1Universidad de Cartagena. Cartagena, Colombia. Universidad de Cartagena Universidad de Cartagena Cartagena Colombia.
Insights
Pentalogy of Cantrell, a rare condition, can coexist with congenital cardiac diverticulum. This case highlights successful surgical management of a left ventricular diverticulum in a child with Pentalogy of Cantrell.
Area of Science:
- Pediatric Cardiology
- Congenital Malformations
- Surgical Management
Background:
- Pentalogy of Cantrell is a rare congenital condition involving defects in the pericardium, heart, diaphragm, sternum, and abdominal wall.
- Congenital cardiac diverticulum is an infrequent cardiac malformation that can be associated with Pentalogy of Cantrell.
Observation:
- A case report of a child diagnosed with Pentalogy of Cantrell is presented.
- During follow-up, the child was diagnosed with a left ventricular diverticulum.
Findings:
- The left ventricular diverticulum associated with Pentalogy of Cantrell required surgical intervention.
- The surgical management resulted in a favorable outcome for the patient.
Implications:
- Timely diagnosis and surgical intervention are crucial for managing complex congenital conditions like Pentalogy of Cantrell with cardiac diverticulum.
- Cardiovascular imaging plays a vital role in guiding treatment decisions for these rare pediatric cases.
Abstract:
Pentalogy of Cantrell is a rare entity characterized by a combination of alterations, among which the following stand out: defects of the pericardium, heart, diaphragm, lower third of sternum and abdominal wall. On the other hand, congenital cardiac diverticulum is a rare malformation whose presentation is associated with Cantrell's pentalogy in some cases. We present the case of a child with Cantrell's pentalogy who, during follow-up, was diagnosed with left ventricular diverticulum, which required surgical management with a favorable outcome. Addressing these conditions requires the use of cardiovascular images that allow timely decision-making by the treating team.
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