Isolated Congenital Left Ventricular Diverticulum

Öz

Congenital left ventricular diverticula are rare and usually asymptomatic. Generally other cardiac malformations accompany and they are diagnosed during early childhood. In this article we report a 70-year-old female patient with preoperative chest pain in whom a contractile isolated left ventricular diverticulum is found during left ventriculography. The coronary arteries were normal and she had no other congenital abnormalities. We decided to follow-up the patient medically.

Anahtar Kelimeler

• Diverticulum; angina pectoris; coronary angiography.

İzole Konjenital Sol Ventrikül Divertikülü

Öz

Konjenital sol ventrikül divertikülleri nadir görülür ve genellikle asemptomatiktir. Sıklıkla diğer kardiyak anomalilerle birlikte görülür ve erken çocukluk döneminde saptanır. Bu yazıda, preoperatif dönemde göğüs ağrısı şikayeti olan ve sol ventrikülografide gerçek kontraktil izole sol ventrikül divertikülü saptanan 70 yaşındaki bir kadın hasta sunuldu. Koroner arterleri normal bulunan ve başka bir doğuştan anomali saptanmayan hastanın medikal olarak izlenmesine karar verildi.

Anahtar Kelimeler

• Divertikül; anjina pektoris; koroner anjiyografi.

Kaynakça

1. Takahashi M, Nishikimi T, Tamano K, Hara S, Kobayashi T, Honda T, et al. Multiple left ventricular diverticula detected by second har monic imaging: a case report. Circ J 2003;67:972-4.
2. Teske DW, McGovern J, Allen HD. Congenital fibrous left ventricu lar diverticulum. Am Heart J 1993;126:1233-5.
3. Speechly-Dick ME, Oliver RM, Slapak GI. Congenital left ventri cular diverticula: a rare cause of sudden cardiac death. Postgrad Med J 1992;68:378-80.
4. Handler CE, Walker JM. Congenital diverticulum of the left ventric le presenting as heart failure and diagnosed by magnetic resonan ce imaging. Int J Cardiol 1989;22:115-9.
5. Barutcu I, Gullu H, Kosar F Isolated true contractile left ventricular diverticulum in an adult patient. Int J Cardiol 2004;97:141-42.
6. Okereke OU, Cooley DA, Frazier OH. Congenital diverticulum of the ventricle. J Thorac Cardiovasc Surg 1986;91:208-14.
7. Gruberg L, Goldstein SA, Pfister AJ, Monsein LH, Evans DM, Leon MB. Images in cardiovascular medicine. Cantrell's syndro me: left ventricular diverticulum in an adult patient. Circulation 2000;101:109-10.
8. Carter JB, Van Tassel RA, Moller JH, Amplatz K, Edwards JE. Congenital diverticulum of the right ventricle. Association with pulmonary stenosis and ventricular septal defect. Am J Cardiol 1971;28:478-82.

9. Archbold RA, Robinson NM, Mills PG. Long-term followup of a true contractile left ventricular diverticulum. Am J Cardiol 1999;83:810 3, A11.
10. Baratella MC, Menti L, Daliento L. Congenital left ventricular diver ticulum. Int J Cardiol 1997;59:93-5.
11. Huang G, Pavan D, Antonini-Canterin F, Piazza R, Burelli C, Ni colosi GL. Asymptomatic isolated congenital left ventricular mus cular diverticulum in an adult: a case report. Echocardiography 2003;20:191-5.
12. Mayer K, Candinas R, Radounislis C, Jenni R. Congenital left ventricular aneurysms and diverticula: clinical findings, diagnosis and course. Schweiz Med Wochenschr 1999;129:1249-56.
13. Shen EN, Fukuyama O, Herre JM, Yee E, Scheinman MM. Vent ricular tachycardia with congenital ventricular diverticulum. Chest 1991;100:283-5.
14. Mady C. Left ventricular diverticulum: analysis of two operated ca ses and review of the literature. Angiology 1982;33:280-6.
15. Potts WJ, DeBoer A, Johnson FR. Congenital diverticulum of the left ventricle. Surgery 1953;33:301-7.
16. Wu JM, Yu CY Isolated congenital left ventricular diverticulum. Pediatr Cardiol 1996;17:254-6.
17. Suilen C, Friedli B, Rutishauser W. Congenital intrathoracic left ventricular diverticulum in an adult. Chest 1990;98:750-1.
18. Pamir G, Oral D, Akyol T, Omurlu K, Murat S, Telli H. Left ventricular diverticulum. Journal of Ankara Medical School 1993;15:709-11.