Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make
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 pat...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/5839432 |
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| _version_ | 1832565579551080448 |
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| author | Lloyd Halpern Carl Garabedian Neil K. Worrall |
| author_facet | Lloyd Halpern Carl Garabedian Neil K. Worrall |
| author_sort | Lloyd Halpern |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-41d296e6e6bf44a8be79f99a29292f29 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-41d296e6e6bf44a8be79f99a29292f292025-02-03T01:07:19ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/58394325839432Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to MakeLloyd Halpern0Carl Garabedian1Neil K. Worrall2Pediatric Anesthesiologist, Shriner’s Hospital for Children, 911 W. 5TH Avenue Spokane, Washington 99204, USAPediatric Cardiologist, Providence Sacred Heart Children’s Hospital, 101 W. 8th Avenue Spokane, Washington 99204, USAMedical Director, Congenital Cardiac Surgery, Providence Sacred Heart Children’s Hospital, 101 W. 8th Avenue Spokane, Washington 99204, USAA 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.http://dx.doi.org/10.1155/2018/5839432 |
| spellingShingle | Lloyd Halpern Carl Garabedian Neil K. Worrall Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make Case Reports in Cardiology |
| title | Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make |
| title_full | Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make |
| title_fullStr | Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make |
| title_full_unstemmed | Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make |
| title_short | Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make |
| title_sort | congenital ventricular diverticulum or aneurysm a difficult diagnosis to make |
| url | http://dx.doi.org/10.1155/2018/5839432 |
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