Congenital left ventricular diverticula: a rare cause of sudden cardiac death

Speechly-Dick, M. E.; Oliver, R. M.; Slapak, G. I.

doi:10.1136/pgmj.68.799.378

Cited by 13 publications

(11 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…11 Echocardiography can detect large left ventricular diverticula, but it is difficult to detect a small one by the conventional 2-D method. 7 Delineation of the endocardial borders is often impossible with conventional echocardiography because of side-lobe or clutter artifacts. The newly developed technique of second harmonic imaging produces ultrasound images using only signals with frequencies twice those of the transmitted ultrasound.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7] The differential diagnosis of symptomatic ventricular embolic events, tachyarrhythmias or heart failure of unknown origin should include congenital ventricular aneurysms or diverticula and it is important to diagnose this anomaly even if the patient is asymptomatic. Left ventriculography is more useful than magnetic resonance imaging or echocardiography for detecting this anomaly.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Multiple Left Ventricular Diverticula Detected by Second Harmonic Imaging-A Case Report-

Takahashi

Nishikimi

Tamano

et al. 2003

Circ J

View full text Add to dashboard Cite

eft ventricular diverticulum is a rare congenital anomaly: in the adult population, it has been reported in only 0.4% of 750 cardiac necropsies 1 and in 0.26% of a group of patients undergoing routine cardiac catheterization. 2 In 70% of patients with left ventricular diverticulum, there are associated midline thoraco-abdominal defects or other congenital cardiac malformations. In the remaining 30%, the left ventricular diverticulum is not associated with cardiac malformations. 3 Left ventricular diverticulum is often associated with serious complications, such as systemic thromboembolism, cardiac rupture, heart failure, arrhythmia, and sudden death, 4-7 so its diagnosis is clinically important.Recent reports have shown that second harmonic imaging substantially enhances endocardial definition in patients with suboptimal conventional echocardiography images and considerably improves overall subjective image quality. [8][9][10] We present an adult case of multiple left ventricular diverticula first detected by second harmonic imaging, leading to a precatheterization diagnosis. Case ReportA 51-year-old Japanese man was admitted to hospital for evaluation of anterior chest pain at rest. He had a past history of cerebellar infarction when he was 47 years old. He Circ J 2003; 67: 972 -974 (Received February 14, 2002; revised manuscript received May 13, 2002; accepted May 17, 2002

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multiple Left Ventricular Diverticula Detected by Second Harmonic Imaging-A Case Report-

Takahashi

Nishikimi

Tamano

et al. 2003

Circ J

View full text Add to dashboard Cite

show abstract

“…A nonsurgical strategy with careful follow-up has been chosen in many case reports [42, 49, 50, 52, 56, 60, 63, 65, 75, 86] and is supported by a series of 16 patients [6]. In this series, an uneventful course could be demonstrated in 94% of the patients over a period of up to 127 months (mean 61 months), with an event rate of approximately 1.2% per year.…”

Section: Therapymentioning

confidence: 99%

Congenital Left Ventricular Aneurysms and Diverticula: Definition, Pathophysiology, Clinical Relevance and Treatment

2006

View full text Add to dashboard Cite

A congenital left ventricular aneurysm or diverticulum is a rare cardiac malformation; 411 cases have been reported since its first description in 1816, and other cardiac, vascular or thoraco-abdominal abnormalities have been shown in about 70%. It appears to be a developmental anomaly, starting in the 4th embryonic week. Diagnosis can be made after exclusion of coronary artery disease, local or systemic inflammation or traumatic causes as well as cardiomyopathies. Clinically, most congenital left ventricular aneurysms and diverticula are asymptomatic or may cause systemic embolization, heart failure, valvular regurgitation, ventricular wall rupture, ventricular tachycardia or sudden cardiac death. Diagnosis is established by imaging studies such as echocardiography, magnetic resonance imaging or left ventricular angiography, visualizing the structural changes and accompanying abnormalities. Mode of treatment has to be individually tailored and depends on clinical presentation, accompanying abnormalities and possible complications; treatment options include surgical resection especially in symptomatic patients, anticoagulation after systemic embolization, radiofrequency ablation or implantation of an implantable cardioverter defibrillator in case of symptomatic ventricular tachycardia, occasionally combined with class I or III antiarrhythmic drugs.

show abstract

“…Most LVD were encountered in isolation and only two patients had multiple diverticula in this series of 94 cases . A few isolated reports describe multiple LVD detected through various imaging modalities . Alkan et al reported a 33‐year‐old female presenting with an ischemic cerebrovascular accident and was found to have multiple LVD on echocardiography.…”

Section: Discussionmentioning

confidence: 79%

Multimodality detection of multiple left ventricular diverticula: A case report and brief review of the literature

et al. 2018

View full text Add to dashboard Cite

Left ventricular diverticula (LVD) are rare congenital anomalies usually detected incidentally in the adult population. Most commonly, they are found as a single left ventricular diverticulum in association with other congenital abnormalities but multiple LVD are exceedingly rare. We are describing a patient who was found to have multiple LVD on multimodality imaging studies. He had presented with a sudden cardiac arrest attributed to a combination of alcohol intoxication and QT interval prolongation from hypokalemia and antidepressant medications. The patient was managed conservatively and discharged with an implantable loop recorder for detecting any occult arrhythmias.

show abstract

Congenital left ventricular diverticula: a rare cause of sudden cardiac death

Cited by 13 publications

References 7 publications

Multiple Left Ventricular Diverticula Detected by Second Harmonic Imaging-A Case Report-

Multiple Left Ventricular Diverticula Detected by Second Harmonic Imaging-A Case Report-

Congenital Left Ventricular Aneurysms and Diverticula: Definition, Pathophysiology, Clinical Relevance and Treatment

Multimodality detection of multiple left ventricular diverticula: A case report and brief review of the literature

Contact Info

Product

Resources

About