Left ventricular diverticulum with chest pain and mural thrombosis: one case report
-
Abstract: The ventricular diverticulum, a rare congenital heart disease, is a cystic structure protruding from the ventricular wall. The vast majority of patients with ventricular diverticulum have no clinical symptoms, and some have severe clinical complications, such as cardiac rupture, arrhythmia, heart failure, and even sudden death. A 69-year old female presented with intermittent chest pain during activities. The ventricular diverticulum complicated with ventricular mural thrombosis was finally confirmed by transthoracic echocardiography, ventricular contrast echocardiography, and enhanced magnetic resonance imaging.
-
Key words:
- left ventricular diverticulum /
- chest pain /
- mural thrombus
-
[1] Kreysig F.Über die zufalle und unterscheidungsmerkmale der verdickung,verdünnung und mürbheit des herzens,in:Die krankheiten des herzens[M].Berlin,Maurer’sche Buchhandlung,1816:464-466.
[2] Vazquez-Jimenez JF,Muehler EG,Daebritz S,et al.Cantrell's syndrome:a challenge to the surgeon[J].Ann Thorac Surg,1998,65(4):1178-1185.
[3] Kosar F,Sahin I,Gullu H.Isolated large true contractile left ventricular diverticulum mimicking ischemia in an adult patient:a case report[J].Heart Vessels,2005,20(2):85-87.
[4] Dostálová G,Palecek T,Kuchynka P,et al.A congenital diverticulum of the left ventricular apex manifested by stroke and recurrent ventricular tachycardia[J].Cardiovasc Pathol,2017,28:3-6.
[5] Ohlow MA,von Korn H,Lauer B.Characteristics and outcome of congenital left ventricular aneurysm and diverticulum:analysis of 809 cases published since 1816[J].Int J Cardiol,2015,185:34-45.
[6] Bhardwaj B,Kumar SA,Webel R,et al.Multimodality detection of multiple left ventricular diverticula:a case report and brief review of the literature[J].Echocardiography,2019,36(1):184-188.
[7] Gocen U,Atalay A,Salih OK.A case of neonatal heart failure caused by left ventricular diverticulum:successful ECMO support application[J].Heart Surg Forum,2016,19(4):E189-E191.
[8] 于向东,杨清,袁文莉,等.成人先天性多发憩室1例报告[J].中国误诊学杂志,2018,13(8):372-374.
[9] Cresti A,Cannarile P,Aldi E,et al.Multimodality imaging and clinical significance of congenital ventricular outpouchings:recesses,diverticula,aneurysms,clefts,and crypts[J].J Cardiovasc Echogr,2018,28(1):9-17.
[10] Keating VP,Rosen LB,Kleinman LH,et al.Isolated left ventricular diverticulum in an adult patient presenting with acute coronary syndrome[J].J Am Coll Cardiol,2012,59(2):191.
[11] Chang RS,Huang YL,Huang WC,et al.Congenital left ventricular diverticulum in a patient with coronary artery disease[J].J Chin Med Assoc,2010,73(8):441-443.
[12] Pasian SG,Pen V,Moody AR.Isolated left ventricle diverticula:a possible cause of atypical angina?[J].J Thorac Imaging,2010,25(1):W17-19.
[13] Ho KT,Sim EK,Lee CN,et al.Isolated right ventricular diverticulum with chest pain[J].Int J Cardiol,1997,59(1):89-91.
[14] Qu H,Liu T,Wang H,et al.Adult left-ventricular diverticulum and patent ductus arteriosus misdiagnosed as coronary artery disease with infarct aneurysm:a case report[J].BMC Cardiovasc Disord,2015,15:149.
[15] Cooke CT,Nolan JR,Kilburn CJ.Sudden death associated with a cardiac diverticulum[J].Am J Forensic Med Pathol,1991,12(4):340-343.
[16] Nakanishi K,Sakurai S,Kawabata T,et al:Cerebral thromboembolism in a patient awaiting surgery for left ventricular diverticulum[J].Interact Cardiovasc Thorac Surg,2011,12:319-320.
[17] Kong L,Li Y,Wu Y,et al.Isolated congenital muscular diverticulum of the left ventricular apex complicated with mural thrombosis in an adult[J].Echocardiography,2015,32(10):1592-1593.
计量
- 文章访问数: 500
- PDF下载数: 65
- 施引文献: 0