scholarly journals Left Ventricular “Diverticulum” in a Patient Affected by Galactosialidosis

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Alessandro Durante ◽  
Mariaemilia Traini ◽  
Roberto Spoladore

We present the case of a 35-year-old man affected by the late juvenile form of galactosialidosis. He was known for a moderate pericardial effusion which remained unchanged in the last 12 months. Last follow-up transthoracic echocardiographic examination showed a bulging of the posterior and lateral wall of the left ventricle. This finding has never been described before in galactosialidosis.

2016 ◽  
Vol 19 (4) ◽  
pp. 189
Author(s):  
Ugur Gocen ◽  
Atakan Atalay ◽  
Orhan Kemal Salih

Congenital left ventricular diverticulum is a rare cardiac anomaly. During the newborn period, symptomatic patients are diagnosed with heart failure findings. We present a 23-day-old male newborn with congenital left ventricular diverticulum diagnosed during fetal echocardiographic examination. After the birth, the patient had heart failure symptoms and his echocardiographic examination showed low cardiac ejection fraction. Diverticulum was operated with endoventricular circular patch plasty (DOR) technique, and after, cardiopulmonary bypass venoarterial extracorporeal membrane oxygenation (ECMO) support was performed because of low cardiac output syndrome. On postoperative day 17, he was discharged with no problem.


2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
R Menezes Fernandes ◽  
T Mota ◽  
P Azevedo ◽  
J Bispo ◽  
J Guedes ◽  
...  

Abstract Introduction Clinical approach of cardiac aneurysms and pseudoaneurysms is significantly distinct. Therefore, it is crucial to accurately differentiate these two entities, which could be a real challenge. Case report We describe a case of a 55-year-old woman, with hypertension and previous smoking habits. She was admitted in our Cardiology Department with the diagnosis of anterior acute myocardial infarction, and was submitted to emergent coronariography, unveiling an occlusion of the middle segment of the anterior descending artery. She underwent successful primary percutaneous coronary intervention (PCI) 1h45 after the chest pain onset. Transthoracic echocardiogram (TTE) revealed depressed left ventricle ejection fraction (LVEF 30%), with akinesia of anterior and septal walls and all apical segments. She evolved in Killip-Kimbal class 2 and was discharged clinically stable. One week later, the patient performed a control TTE that showed an apical thrombus, with a small pericardial effusion, and she initiated warfarin. Three weeks later, a reevaluation TTE demonstrated a severe increase of the left ventricle dimensions, with LVEF 32%, and a small pericardial effusion. In apical 4-chambers incidence, it was visualized a linear structure (42 mm x 5 mm) attached to the endocardial border of the anterolateral apical segment and to the apical segment of the interventricular septum, of undefined nature. The apical segments were dyskinetic and had a very thin wall, which could correspond to aneurysm versus pseudoaneurysm. To clarify these findings, the patient performed a cardiac magnetic resonance revealing a large anterior myocardial infarction complicated with extensive myocardial necrosis, severe depression of LV systolic function (LVEF 25%) and septum rupture distal to the right ventricle apex (without connecting with it), compatible with a large apical pseudoaneurysm. The clinical case was discussed in the Heart Team and it was decided to perform cardiac surgery. However, surgical findings showed integrity of septal and free walls, and she underwent an aneurysmectomy, without further complications. Histological examination confirmed the presence of a thin myocardial wall with marked fibrosis and, consequently, the diagnosis of ventricular aneurysm. She was discharged clinically stable and maintains follow-up in Cardiology consultation of our Hospital. Conclusion In this patient, initially admitted with an anterior myocardial infarction submitted to primary PCI, follow-up with advanced imaging modalities pointed to the diagnosis of pseudoaneurysm. Despite the preoperative diagnosis, surgical findings were compatible with a giant left ventricular aneurysm. Even with high spatial resolution exams, postoperative evaluation of tissue layers remains the gold standard for this differential diagnosis. Abstract P871 Figure. Apical pseudoaneurysm vs aneurysm


2016 ◽  
Vol 35 (4) ◽  
pp. 850-852
Author(s):  
Yuman Li ◽  
Wei Han ◽  
Liu Hong ◽  
Xinfang Wang ◽  
Qing Lu ◽  
...  

2005 ◽  
Vol 13 (1) ◽  
pp. 79-81 ◽  
Author(s):  
Sai S Oruganti ◽  
Dharma R Ayapati ◽  
Milton A James ◽  
Jagan MR Jinna ◽  
Seshagiri R Damera ◽  
...  

Congenital diverticulum of the left ventricle is a rare anomaly. Echocardiography, cardiac catheterization, and magnetic resonance imaging of the heart diagnosed a giant left ventricular diverticulum in a 20-year-old male with a history of dyspnea and palpitations. He underwent successful surgical correction of the left ventricular diverticulum.


2016 ◽  
Vol 8 (2) ◽  
pp. 227-230
Author(s):  
I. A. Soynov ◽  
Yu. S. Sinelnikov ◽  
N. R. Nichay ◽  
A. Y. Omelchenko ◽  
I. A. Kornilov

Congenital left ventricular diverticulum is an extremely rare heart defect. Here, we report a case of successful endoventriculoplasty using a Dacron patch in an infant who was followed up for one year.


2002 ◽  
Vol 23 (6) ◽  
pp. 658-660 ◽  
Author(s):  
A. Brachlow ◽  
C. Sable ◽  
S. Smith ◽  
M. Slack ◽  
G. Martin

2017 ◽  
Vol 27 (5) ◽  
pp. 973-974
Author(s):  
Jorge A. Morales-Quispe ◽  
Cristian Aguilar ◽  
Maria Ganiku-Furujen

AbstractCongenital diverticulum of the left ventricle is a rare cardiac malformation usually associated with midline thoraco-abdominal defects and other congenital cardiac malformations.


Sign in / Sign up

Export Citation Format

Share Document