Left Ventricular Diverticulum of the Interventricular Septum

Barberato, Sílvio Henrique; Barberato, Márcia Ferreira Alves

doi:10.5935/abc.20140170

Cited by 2 publications

(3 citation statements)

References 1 publication

(1 reference statement)

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“…Myocardial diverticulum is a congenital protrusion of the cardiac wall characterized by the presence of normal cardiomyocytes that can affect the left ventricular free wall, right ventricular apex, or rarely the IV septum (34). The majority are asymptomatic, but surgical resection is recommended to avoid long term complications such as heart failure, infection, or thromboembolism (35).…”

Section: Differential Diagnosesmentioning

confidence: 99%

“…The majority are asymptomatic, but surgical resection is recommended to avoid long term complications such as heart failure, infection, or thromboembolism (35). Imaging findings on US usually demonstrate subtle anechoic wall defect without focal bulging or surrounding myocardial wall abnormal echogenicity (34). On CT, a diverticulum presents as an incomplete, noncalcified defect in the ventricular wall that follows blood pool attenuation.…”

Section: Differential Diagnosesmentioning

confidence: 99%

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Implementation of 3D Printing in Medical Care for Preoperative Planning of Complex Ventricular Septal Defect

et al. 2021

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Three-dimensional (3D) modeling and printing in medicine have emerged to encompass every aspect of medical applications. This ranges from education, illustration, and treatment, as well as patient care whether for purposes of diagnosis or treatment and surgical planning. In the past few decades, these novel tools have shown promising utility to help radiologists and the medical team to improve quality of patient care and outcomes via 3D printing application and utilization. This workflow will be illustrated through a ventricular septal defect (VSD) case at which 3D analysis was critical in the assessment and treatment planning of the patient's underlying medical condition.

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Section: Differential Diagnosesmentioning

confidence: 99%

Section: Differential Diagnosesmentioning

confidence: 99%

Implementation of 3D Printing in Medical Care for Preoperative Planning of Complex Ventricular Septal Defect

et al. 2021

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“…With advancements in cardiac imaging techniques, they are being characterised more frequently in patients with no apparent cardiac abnormalities 3. As few as 16 cases of LV septal diverticula have been reported globally, and as such, there is clear uncertainty in evaluation, management and prognosis of such congenital abnormalities 3–8. The majority of cases identified in adulthood are monitored for the development of arrhythmias, cardioembolic phenomena, progression in size or detriment in systolic function prior to intervention 3.…”

Section: Introductionmentioning

confidence: 99%

Interventricular septal diverticulum and rheumatic mitral valve disease identified and managed concurrently in middle age

2019

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Cardiac diverticula represent an extremely rare but serious cause of cardiac morbidity and mortality. They can result to arrhythmia, sudden cardiac death and ventricular dysfunction but may have no pathological implications. Here is a case of a 60-year-old Maori farmer with both rheumatic mitral valve disease and left ventricular (LV) septal diverticulum. The requirement for mitral valve replacement raised the complex decision of whether to undergo concurrent diverticulum repair. The haemodynamic significance of the diverticulum was impossible to ascertain, although we could not in good conscience leave such a large diverticulum with potential to influence further systolic deterioration. Three months after the procedures, the patient developed severe tricuspid regurgitation which is a first reported association postseptal diverticulum repair. The case highlights that careful consideration is required in repairing LV septal diverticula and an emphasis should be placed on complications and the requirement for repeat surgery during the consent process.

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Left Ventricular Diverticulum of the Interventricular Septum

Cited by 2 publications

References 1 publication

Implementation of 3D Printing in Medical Care for Preoperative Planning of Complex Ventricular Septal Defect

Implementation of 3D Printing in Medical Care for Preoperative Planning of Complex Ventricular Septal Defect

Interventricular septal diverticulum and rheumatic mitral valve disease identified and managed concurrently in middle age

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