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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2010; 20(03): 211-214
DOI: 10.4103/0971-3026.69356
Cardiac

Case series: Congenital left ventricular diverticulum

Dharita Shah
Department of Radio-Diagnosis, Seth Vadilal Sarabhai General Hospital, Ellisbridge, Ahmedabad - 380 016, Gujarat, India
,
C Kumar Kumar
Department of Radio-Diagnosis, Seth Vadilal Sarabhai General Hospital, Ellisbridge, Ahmedabad - 380 016, Gujarat, India
,
Mukesh S Shah
Department of Radio-Diagnosis, Seth Vadilal Sarabhai General Hospital, Ellisbridge, Ahmedabad - 380 016, Gujarat, India
,
Mihir Baraiya
Department of Radio-Diagnosis, Seth Vadilal Sarabhai General Hospital, Ellisbridge, Ahmedabad - 380 016, Gujarat, India
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Abstract

Congenital left ventricular diverticulum is a rare cardiac malformation characterized by a localized outpouching from the cardiac chamber. The patient is usually asymptomatic. However, complications like embolism, infective endocarditis, arrhythmia and, rarely, rupture can be the initial presentation. Diagnosis can be established by USG, echocardiography, CT angiography, and MRI. We report here two neonates with congenital left ventricular apical diverticulum associated with epigastric hernia.

Keywords

Left ventricular diverticulum - Cantrell’s pentalogy - CT angiography


Publication History

Article published online:
02 August 2021

© 2010. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Klein G. Casuistics of congenital cardiac diverticulum. Zentralbl Allg Pathol 1953;90:14-7.
  • 2 Ohlow MA, Secknus MA, Geller JC, von Korn H, Lauer B. Prevalence and outcome of congenital left ventricular aneurysms and diverticula in an adult population. Cardiology 2009;112:287-93.
  • 3 Perlitz Y, Mukary M, Lorber A, Ben-Ami M. Prenatal diagnosis of fetal cardiac right ventricular diverticulum disappearing at three months of age. A case report and literature review. Fetal Diagn Ther 2009;25:44-6.
  • 4 Abi-Nader K, David AL, Yates R, Pandya P. Successful outcome after prenatal treatment of a cardiac diverticulum with massive pericardial effusion. Fetal Diagn Ther 2009;25:148-52.
  • 5 McAuliffe FM, Hornberger LK, Johnson J, Chitayat D, Ryan G. Cardiac diverticulum with pericardial effusion: Report of two new cases treated by in-utero pericardiocentesis and a review of the literature. Ultrasound Obstet Gynecol 2005;25:401-4.
  • 6 Prefumo F, Bhide A, Thilaganathan B, Carvalho JS. Fetal congenital cardiac diverticulum with pericardial effusion: Two cases with different presentations in the first trimester of pregnancy. Ultrasound Obstet Gynecol 2005;25:405-8.
  • 7 Pradhan M, Dalal A, Kapoor A, Kumar S, Manisha R. Fetal left ventricular diverticulum presenting as dysrhythmia: diagnosis and management. Fetal Diagn Ther 2008;23:10-4.
  • 8 Gowitt GT, Zaki SA. Rupture of a cardiac diverticulum resulting in sudden death. Am J Forensic Med Pathol, 1988;9:155-8.
  • 9 Deng Y, Sun Z, Dong N, Du X. Congenital cardiac diverticulum in the subaortic valve area. J Thorac Cardiovasc Surg 2006;132:1087-91.
  • 10 Maroto C, Maroto E, Garcνa EJ, Vallιs P, Delcαn JL, Arcas R. Congenital cardiac diverticulum originating from both ventricles. Rev Esp Cardiol 1991;44:351-4.
  • 11 Knight L, Neal WA, Williams HJ, Huseby TL, Edwards JE. Congenital left ventricular diverticulum: Part of a syndrome of cardiac anomalies and midline defects. Minn Med 1976;59:372-5.
  • 12 El Kettani NE, Dafiri R. Isolated congenital left ventricular diverticulum: Report of a paediatric case. J Radiol 2006;87:56-8.
  • 13 Cantrell JR, Haller JA, Ravitch MM. A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart. Surg Gynecol Obstet 1958;107:602-14.
  • 14 Edgett JW Jr, Nelson WP, Hall RJ, Fishback ME, Jahnke EJ. Diverticulum of the heart: Part of the syndrome of congenital cardiac and midline thoracic and abdominal defects. Am J Cardiol 1969;24:580-3.
  • 15 Halbertsma FJ, van Oort A, van der Staak F. Cardiac diverticulum and omphalocele: Cantrell′s pentalogy or syndrome. Cardiol Young 2002;12:71-4.
  • 16 Yuan SM, Shinfeld A, Mishaly D. An incomplete pentalogy of Cantrell. Chang Gung Med J 2008;31:309-13.
  • 17 Toyama WM. Combined congenital defects of the anterior abdominal wall, sternum, diaphragm, pericardium, and heart: A case report and review of the syndrome. Pediatrics 1972;50:778-92.
  • 18 Hajdϊ J, Marton T, Kozsurek M, Pete B, Csapσ Z, Beke A, et al. Prenatal diagnosis of abnormal course of umbilical vein and absent ductus venosus: Report of three cases. Fetal Diagn Ther 2008;23:136-9.
  • 19 Jouk PS, Champetier J. Abnormal direct entry of the umbilical vein into the right atrium: Antenatal detection, embryologic aspects. Surg Radiol Anat 1991;13:59-62.
  • 20 Matias A, Huggon I, Areias JC, Montenegro N, Nicolaides KH. Cardiac defects in chromosomally normal fetuses with abnormal ductus venosus blood flow at 10-14 weeks. Ultrasound Obstet Gynecol 1999;14:307-10.
  • 21 Nakstad B, Smevik B. Abnormal systemic venous connection possibly associated with a persistent right umbilical vein: A case report. BMC Pediatr 2004;4:7.
  • 22 Fernαndez MS, Lσpez A, Vila JJ, Lluna J, Miranda J. Cantrell′s pentalogy: Report of four cases and their management. Pediatr Surg Int 1997;12:428-31.