Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make.

Publication Title

Case Rep Cardiol

Authors

Lloyd Halpern
Carl Garabedian, Pediatric Cardiologist, Providence Sacred Heart Children's Hospital, 101 W. 8th Avenue Spokane, Washington 99204, USA.Follow
Neil K Worrall, Medical Director, Congenital Cardiac Surgery, Providence Sacred Heart Children's Hospital, 101 W. 8th Avenue Spokane, Washington 99204, USA.Follow

Document Type

Article

Publication Date

1-1-2018

Abstract

A pouch protruding from the free wall of the left ventricle may be either a congenital ventricular diverticulum (CVD) or aneurysm (CVA). Being aware of these rare congenital anomalies is critical in making the diagnosis. Differentiating the two is important for treatment decisions. We describe a patient with dextrocardia, Tetralogy of Fallot, and a congenital left ventricular apical diverticulum diagnosed following the induction of anesthesia. CVD and CVA may present in the antenatal period through late adulthood with differing morphology, location, and symptoms. Echocardiography is paramount in the diagnosis and characterization of these lesions. If this anomaly is encountered after the induction of anesthesia or during intraoperative echocardiography, the cardiothoracic anesthesiologist should make the surgical team aware so it can be further characterized and a treatment plan made prior to incision.

Area of Special Interest

Cardiovascular (Heart)

Area of Special Interest

Women & Children

Specialty/Research Institute

Cardiology

Specialty/Research Institute

Pediatrics