Case Report: Diverticulum of the Left Ventricular Outflow Tract: Multimodal Imaging

Overview

Journal Front Cardiovasc Med

Specialty Cardiology & Vascular Diseases

Date 2024 Dec 5

PMID 39635264

Authors

Qiqing Chen

Lili Liu

Yiqiu Cao

Pian Chen

Wenjin Zhong

Xiangxiang Jing

Affiliations

Soon will be listed here.

Abstract

The left ventricular diverticulum (LVD) is a rare congenital heart disease commonly discovered during examinations. Herein, we report a LVD on the lateral wall of left ventricular outflow tract. A case of a 22-year-old female patient who visited our hospital with complaints of shortness of breath, accompanied by vomiting, cough, and lower limb and facial edema and was diagnosed with "aortopulmonary septal defect" using transthoracic echocardiography. After cardiac surgery and postoperative pathology, she was confirmed with a LVD. The patient's clinical symptoms, multimodal imaging examination, and treatment methods were used to assess this case.

References

Doost A, Craig J, Soh S . Acute rupture of a sinus of Valsalva aneurysm into the right atrium: a case report and a narrative review. BMC Cardiovasc Disord. 2020; 20(1):84. PMC: 7027063. DOI: 10.1186/s12872-020-01383-7. View

Bejiqi R, Retkoceri R, Maloku A, Mustafa A, Bejiqi R . Giant Apical Left Ventricular Diverticulum in a Health Teenager - Report of a Case within the Context of a Literature Review. Med Arch. 2021; 74(6):478-481. PMC: 7879370. DOI: 10.5455/medarh.2020.74.478-481. View

Mejia J, Spindel S, Pawale A, Itagaki S, Boateng P . Congenital left ventricular diverticulum repair in an adult with dual patch technique. J Card Surg. 2020; 35(7):1621-1623. DOI: 10.1111/jocs.14752. View

Cai Q, Denner J, Martin E, Ahmad M . A large left ventricular diverticulum in a patient with congenital pulmonic stenosis. Can J Cardiol. 2013; 29(7):893.e5-6. DOI: 10.1016/j.cjca.2013.04.010. View

Cresti A, Cannarile P, Aldi E, Solari M, Sposato B, Franci L . Multimodality Imaging and Clinical Significance of Congenital Ventricular Outpouchings: Recesses, Diverticula, Aneurysms, Clefts, and Crypts. J Cardiovasc Echogr. 2018; 28(1):9-17. PMC: 5875147. DOI: 10.4103/jcecho.jcecho_72_17. View

Tongprasert F, Sittiwangkul R, Jatavan P, Tongsong T . Prenatal Diagnosis of Aortopulmonary Window: A Case Series and Literature Review. J Ultrasound Med. 2017; 36(8):1733-1738. DOI: 10.7863/ultra.16.08025. View

Bhardwaj B, Kumar S, Webel R, Gautam S, Chockalingam A . Multimodality detection of multiple left ventricular diverticula: A case report and brief review of the literature. Echocardiography. 2018; 36(1):184-188. DOI: 10.1111/echo.14179. View

Ezzeddine F, Brenes-Salazar J . Multimodality imaging of a congenital left ventricular diverticulum. Cardiol J. 2020; 27(5):654-655. PMC: 8078965. DOI: 10.5603/CJ.2020.0160. View

Yu J, Liu K, Xu W, Xiong J, Zhong X, Hu S . Prenatal ultrasound diagnosis and management of fetal aortopulmonary septal defects: a case series. Transl Pediatr. 2022; 10(11):3068-3074. PMC: 8649606. DOI: 10.21037/tp-21-488. View

10.

Vallabhajosyula S, Kanwar S, Aung H, Cheungpasitporn W, Raphael C, Gulati R . Temporal Trends and Outcomes of Left Ventricular Aneurysm After Acute Myocardial Infarction. Am J Cardiol. 2020; 133:32-38. DOI: 10.1016/j.amjcard.2020.07.043. View

11.

Pavasini R, Bianchi N, Frascaro F, Marchini F, Meossi S, Zanarelli L . The Use of Multimodality Imaging for the Diagnosis of Myocardial Outpouchings and Invaginations: A Systematic Review. Life (Basel). 2023; 13(3). PMC: 10058360. DOI: 10.3390/life13030650. View

12.

Kawai K, Watanabe H, Hasokawa M, Nanahoshi M, Yamabe H, Kobayashi S . Three-dimensional transthoracic echocardiographic imaging of an unusual congenital left ventricular diverticulum. J Echocardiogr. 2019; 19(1):63-64. DOI: 10.1007/s12574-019-00442-z. View

13.

Yang C, Wu V, Hung K, Lin F . Early Detection of Left Ventricular Diverticulum by Transthoracic Echocardiography. J Med Ultrasound. 2018; 25(4):232-234. PMC: 6029325. DOI: 10.1016/j.jmu.2017.08.004. View

14.

Deshpande J, Vaideeswar P, Sivaraman A . Subvalvular left ventricular aneurysms. Cardiovasc Pathol. 2000; 9(5):267-71. DOI: 10.1016/s1054-8807(00)00041-7. View

15.

Celebi S, Celebi O, Cetin S, Cetin H, Tek M, Gokaslan S . The Usefulness of Admission Plasma NT-pro BNP Level to Predict Left Ventricular Aneurysm Formation after Acute ST-Segment Elevation Myocardial Infarction. Arq Bras Cardiol. 2019; 113(6):1129-1137. PMC: 7021256. DOI: 10.5935/abc.20190226. View

16.

Cresti A, Franci L, Picotti A . Huge left ventricular diverticulum simulating athlete's heart, a multimodality imaging study. Heart. 2013; 99(19):1467-8. DOI: 10.1136/heartjnl-2013-303769. View

17.

Zhong X, Yuan X, Yang X, Chen W, Huan Z, Yu H . Diverticulum of the aortic fibrous interleaflet triangle: multimodality imaging and pathological correlation. Eur Heart J. 2018; 40(14):1167-1168. PMC: 6451767. DOI: 10.1093/eurheartj/ehy751. View