Isolated congenital left ventricular diverticulum: A case report and differential diagnosis

Abstract

We describe a case of an incidental finding of diverticulum in a patient presented to the Emergency Department for atypical chest pain, and we analyze the challenging differential diagnosis with aneurysm, pseudoaneurysm, and ventricular cleft.

Left Ventricular Diverticulum Mimicking Ventricular Septal Defect During Acute Coronary Syndrome: A Case Report

“…The cleft is localized in the compacted myocardial layer and with contractions usually gets obliterated during systole. These characteristics also make clefts difficult to visualize using echocardiograms [ 5 ]. A ventricular septal defect can also be mistaken with LVD (yet it is the most commonly associated defect) because of the difficult visualization of the apex and surrounding structures using an apical four-chamber view.…”

A complete case of Cantrell’s Pentalogy with isolated left ventricular diverticulum

“…Early detection and surgical intervention for this pathology might be lifesaving. 9 Vazquez-Jimenez et al published a literature review of 153 Cantrell's Pentalogy cases in 1998. According to the analysis, a ventricular septal defect was the most common cardiac malformation (72%).…”

Congenital left ventricular diverticulum repair in an adult with dual patch technique

“…Some authors have reported closure of the diverticulum neck with a patch, with surgical glue closure and plication with aneurysmorrhaphy. 8 Other authors have described their technique as suture reapproximation in a double-layered fashion with the use of felt, 9 while some describe removal of the outpouching cavity and closure with an in-situ patch. 10 Due to the catastrophic events associated with CLVD, our institution prefers surgical management for patients with symptomatic CLVD.…”