Report an error   

HERDIN Record #: NCR-PHC-16051217123096 Submitted: 13 May 2016 Modified: 13 May 2016

Isolated Congenital Left Ventricular Diverticulum in an Adult.

See More

Congenital isolated left ventricular (LV) diverticulum is a rare disease and has only been documented by a few case reports and a small series of retrospective analyses. Presented is a 22-year old male patient, previously well and with no risk factors for coronary heart disease, who complained of a one month history of chest heaviness and easy fatigability, physical findings revealed a dynamic precordium and a grade 3/6 mid systolic murmur at 5th and apical areas. Chest radiography showed a large convex density in the left side of the cardiac silhouette and interstitial and alveolar edema in the right middle and lower lung. Both transthoracic and transesophageal echocardiography showed a non-contractile out pouching from the basal left ventricle suggestive of a LV diverticulum. Coronary angiography showed normal coronaries with the LV angiogram showing the left ventricular out pouching with a narrow neck consistent with the findings of a diverticulum. Diverticulectomy with Dacron patch closure adopting the Dor procedure was done. Postoperative course was unremarkable and patient symptoms improved.

Publication Type
Research Report
LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library CR.011.05 Abstract Print Format