A diverticulum of the left ventricular apex manifested by recurrent chest pain

A left ventricular diverticulum at the apex is a rare cardiac anomaly in adults, often detected incidentally due to its asymptomatic nature. Noninvasive imaging modalities, such as echocardiography, provide initial diagnostic clues, but advanced techniques like cardiac magnetic resonance (CMR) imaging or contrast-enhanced computed tomography (CT) are often required for confirmation. This report describes a case of a patient presenting with recurrent chest pain, ultimately diagnosed with a left ventricular apical diverticulum through a stepwise imaging approach.