Contrast Harmonic Power Doppler Imaging of Congenital Ventricular Diverticulum

Ueda, Takashi; Mizushige, Katsufumi; Yukiiri, Kazushi; Aoyama, Toshiyuki; Kondô, Isao; Kohno, Masakazu; Matsuo, Hirohíde

doi:10.1177/000331970105200510

Cited by 17 publications

(11 citation statements)

References 7 publications

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“…Since it was first described by O'Bryan in 1866, 6 there have been less than 100 cases reported in English literature, their prevalence being estimated at 0.013% 7 . Most congenital ventricular diverticula were found in newborns and children, but it involved all age groups, as early as 24 hours after birth 3 and as late as 81 years of age 8 . It was also detected in fetal echocardiographic examination 9,10 .…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Isolated Congenital Left Ventricular Muscular Diverticulum In An Adult: A Case Report

et al. 2003

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Congenital ventricular diverticulum is a very rare malformation in adults. We describe a 21-year-old male with a congenital muscular left ventricular diverticulum in the inferior wall. The lesion was suspected on two-dimensional transthoracic echocardiography; transesophageal echocardiography allowed clear detection of the diverticulum as well of mild mitral valve prolapse. The diagnosis was confirmed by cardiac catheterization. There were no other thoracoabdominal or cardiac anomalies, the patient was asymptomatic, and surgery was not deemed necessary.

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Section: Discussionmentioning

confidence: 99%

Asymptomatic Isolated Congenital Left Ventricular Muscular Diverticulum In An Adult: A Case Report

et al. 2003

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“…Accompanying malformations can be assessed in the same setting and quantified by (color) Doppler flow measurements. Contrast harmonic power Doppler imaging provides information about contractility and myocardial perfusion of congenital left ventricular aneurysms or diverticula [26, 49, 89]. However, especially in adults, small apical changes can be missed due to difficult visualization of the left ventricular apex (fig.…”

Section: Diagnostic Studiesmentioning

confidence: 99%

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

2006

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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.

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“…In this situation, harmonic imaging may be useful. 8,12) In our first case, the diverticulum could be determined by conventional 2-D ECHO. Left ventriculography is more useful than magnetic resonance imaging or echocardiography for detecting this anomaly.…”

Section: A B Discussionmentioning

confidence: 82%

Left Ventricular Diverticulum in Two Adult Patients

et al. 2005

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SUMMARYLeft ventricular diverticulum is a rare congenital anomaly. In the adult population, the incidence was reported to be 0.26% in nonselected patients who underwent cardiac catheterization. Diverticula are usually localized near the apex and most often involve the inferior or anterior parietal walls of the left ventricle. In this report, two cases with congenital left ventricular diverticulum are presented, and the pathophysiologic, diagnostic, and therapeutic approaches of this cardiac malformation are discussed. ( LEFT ventricular diverticulum is a rare congenital anomaly. In the adult population, the incidence was reported to be about 0.4% in an autopsy series of patients with cardiac death, and about 0.26% in nonselected patients who underwent cardiac catheterization.1,2) Diverticula are usually localized near the apex and most often involve the inferior or anterior parietal walls of the left ventricle.3) They can be associated with midline defects concerning the pericardium, and malformations such as septal defects, 4) pulmonary stenosis or dextrocardia. 5) We report two cases of isolated congenital left ventricular diverticulum with complaints of concomitant chest pain. CASE 1A 55-year-old male patient was referred to our clinic because of complaints of chest pain during effort. There were no coronary risk factors except smoking (20 years) and age. His blood pressure was 135/80 mmHg and he had a regular pulse of 84 beats/min. No heart murmur was detected and his lungs were clear. An abdominal examination was unremarkable and edema was absent. No abnormal neurological findings were noted, and the results of laboratory tests and chest X-rays were unremarkable. An electrocardiogram (ECG) showed a sinus rate of From the

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Contrast Harmonic Power Doppler Imaging of Congenital Ventricular Diverticulum

Cited by 17 publications

References 7 publications

Asymptomatic Isolated Congenital Left Ventricular Muscular Diverticulum In An Adult: A Case Report

Asymptomatic Isolated Congenital Left Ventricular Muscular Diverticulum In An Adult: A Case Report

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

Left Ventricular Diverticulum in Two Adult Patients

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