Abstract
Left ventricular diverticulum is a rare congenital heart defect, occurring in 0.1% of all congenital heart defects requiring surgical treatment, characterized by localized bulging of the ventricular free wall with subsequent thinning of the ventricle. These malformations are usually asymptomatic, but complications such as embolism, infective endocarditis, and arrhythmias occur in the absence of surgical treatment. Diagnosis can be made by echocardiography, cardiac magnetic resonance imaging or catheter angiography. Surgical treatment is the method of choice in patients with clinical symptoms, whereas treatment of asymptomatic patients often presents a physician’s dilemma. Due to the rare incidence of this heart defect, we present this clinical case.
References
- Yao M., Wang R., Ye W., Ren C. Surgical treatment of congenital left ventricular diverticulum. J. Thorac. Dis. 2021; 13 (1): 291–8. DOI: 10.21037/jtd-20-3510
- Uysa F., Bostan O.M., Toprak M.H.H., Signak I.S., Cil E. Isolated con-genital cardiac diverticulum originating from the left vent-ricular apex: Report of a pediatric case. Ann. Pediatr. Cardiol. 2016; 9 (2): 195–6. DOI: 10.4103/0974-2069.177518
- Nefedova I.E., Baryshnikova I.Yu., Berishvili D.O., Mumladze K.V. Left ventricular diverticulum with a complete atrioventricular defect. Children’s Heart and Vascular Diseases. 2014; 3: 50–3 (in Russ.).
- Dostálová G., Paleček T., Kuchynka P., Havránek Š., Mašek M., Hlubocká Z. et al. A congenital diverticulum of the left ventricular apex manifested by stroke and recurrent ventricular tachycardia. Cardiovasc. Pathol. 2017; 28: 3–6. DOI: 10.1016/j.carpath
- Soinov I.A., Sinelnikov Y.S., Kornilov I.A., Nichai N.R., Ivantsov S.M., Gorbatykh A.V. et al. Congenital isolated left ventricular diverticulum: a successful clinical case. Pathology Blood Circulation and Cardiac Surgery. 2015; 9 (4): 134–7 (in Russ.).
- Hunter L.E., Pushparajah K., Miller O., Anderson D., Simpson J.M. Prenatal diagnosis of left ventricular diverticulum and coarctation of the aorta. Ultrasound Obstet Gynecol. 2016; 47 (2): 236–8. DOI: 10.1002/uog.15746 7. Claus I., Adriaenssens B., Van Beeumen K., Timmers L., Bové T. Congenital left ventricular diverticulum: A rare cause of cardiac arrhythmia. J. Card. Surg. 2020; 35 (4): 926–9. DOI: 10.1111/jocs.14464
- Ohlow M.-A., von Korn H., Lauer B. Characteristics and outcome of congenital left ventricular aneurysm and diverticulum: Analysis of 809 cases published since 1816. J. Cardiol. 2015; 185: 34–45. DOI: 10.1016/j.ijcard. 2015.03.050
- Fang Y., An Q., Yu T., Luo Sh. Partial resection of large congenital left ventricular diverticulum in an infant: a case report. Surg. 2020; 20 (1): 146. DOI: 10.1186/s12893-020-00808-6
- Soynov I.A., Gorbatykh Y.N., Kulyabin Y.Y., Kornilov I.A., Nichay N.R., Gorbatykh A.V. et al. Diverticula and Congenital Aneurysms of the Left Ventricle: Anatomical Features, Pathophysiology, Clinical Presentation and Treatment Strategy. Kardiologiia. 2018; 58 (2): 33–9 (in Russ.).
About the authors
- Margarita R. Tumanyan, Dr. Med. Sci., Professor, Head of Department; ORCID
- Andrey A. Svobodov, Dr. Med. Sci., Deputy Director for Scientific Work; ORCID
- Anna N. Kotova, Dr. Med. Sci., Researcher; ORCID
- Vadim Yu. Merzlyakov, Dr. Med. Sci., Professor, Head of Department; ORCID
- Nino T. Siria, Junior Researcher;
- Abdubanob Yu. Ergashov, Cand. Med. Sci., Junior Researcher.