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. 1984 Mar;51(3):321–326. doi: 10.1136/hrt.51.3.321

Congenital diverticulum of the left ventricle. Report of two unusual cases.

M K Mardini
PMCID: PMC481506  PMID: 6421302

Abstract

Of two infants with congenital cardiac diverticula one had a defect consisting of a submitral valvular diverticulum rather than the expected aneurysm. It was clearly shown by echocardiography as well as angiography and was associated with moderate mitral incompetence and a poorly functioning left ventricular wall. The second infant had an isolated apical left ventricular diverticulum with subnormal left ventricular function and severe mitral incompetence. Because of intractable congestive heart failure this infant underwent successful replacement of a dysplastic fibrotic mitral valve which on histological examination had myxomatous features. The association between congenital mitral disease and congenital apical diverticular may be related to race and sex.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ABRAHAMS D. G., BARTON C. J., COCKSHOTT W. P., EDINGTON G. M., WEAVER E. J. Annular subvalvular left ventricular aneurysms. Q J Med. 1962 Jul;31:345–360. [PubMed] [Google Scholar]
  2. Alday L. E., Moreyra E., Quiroga C., Buonano C., Dander B. Cardiomyopathy complicated by left ventricular aneurysms in children. Br Heart J. 1976 Feb;38(2):162–166. doi: 10.1136/hrt.38.2.162. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Baltaxe H. A., Wilson W. J., Amiel M. Diverticulosis of the left ventricle. AJR Am J Roentgenol. 1979 Aug;133(2):257–261. doi: 10.2214/ajr.133.2.257. [DOI] [PubMed] [Google Scholar]
  4. CANTRELL J. R., HALLER J. A., RAVITCH M. M. A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart. Surg Gynecol Obstet. 1958 Nov;107(5):602–614. [PubMed] [Google Scholar]
  5. Chesler E., Tucker R. B., Barlow J. B. Subvalvular and apical left ventricular aneurysms in the Bantu as a source of systemic emboli. Circulation. 1967 Jun;35(6):1156–1162. doi: 10.1161/01.cir.35.6.1156. [DOI] [PubMed] [Google Scholar]
  6. Davis M. D., Caspi A., Lewis B. S., Milner S., Colsen P. R., Barlow J. B. Two-dimensional echocardiographic features of submitral left ventricular aneurysm. Am Heart J. 1982 Feb;103(2):289–290. doi: 10.1016/0002-8703(82)90502-6. [DOI] [PubMed] [Google Scholar]
  7. Franco-Vazquez S., Sutherland R. D., Fowler M., Edwards J. E. Congenital aneurysm of left ventricular base. Chest. 1970 May;57(5):411–415. doi: 10.1378/chest.57.5.411. [DOI] [PubMed] [Google Scholar]
  8. Gueron M., Hirsch M., Opschitzer I., Mogel P. Left ventricular diverticulum and mitral incompetence in asymptomatic children. Circulation. 1976 Jan;53(1):181–186. doi: 10.1161/01.cir.53.1.181. [DOI] [PubMed] [Google Scholar]
  9. Guimarães A. C., Filho A. S., Esteves J. P., Abreu W. N., Vinhaes L. A., de Almeida Souza J. A., Machado A. Annular subvalvular left ventricular aneurysm in Bahia, Brazil. Br Heart J. 1976 Oct;38(10):1080–1085. doi: 10.1136/hrt.38.10.1080. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. PARONETTO F., STRAUSS L. ANEURYSM OF THE LEFT VENTRICLE DUE TO CONGENITAL MUSCLE DEFECT IN AN INFANT. REPORT OF A CASE WITH DISCUSSION OF PATHOGENESIS OF ASSOCIATED ENDOCARDIAL FIBROELASTOSIS. Am J Cardiol. 1963 Nov;12:721–729. doi: 10.1016/0002-9149(63)90265-0. [DOI] [PubMed] [Google Scholar]
  11. POCOCK W. A., COCKSHOTT W. P., BALL P. J., STEINER R. E. LEFT VENTRICULAR ANEURYSMS OF UNCERTAIN AETIOLOGY. Br Heart J. 1965 Mar;27:184–192. doi: 10.1136/hrt.27.2.184. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. POTTS W. J., DEBOER A., JOHNSON F. R. Congenital diverticulum of the left ventricle; case report. Surgery. 1953 Feb;33(2):301–307. [PubMed] [Google Scholar]
  13. Petersen J. L., Johnston W., Hessel E. A., Murray J. A. Echocardiographic recognition of left ventricular aneurysm. Am Heart J. 1972 Feb;83(2):244–250. doi: 10.1016/0002-8703(72)90144-5. [DOI] [PubMed] [Google Scholar]
  14. Poltera A. A., Jones A. W. Subvalvular left ventricular aneurysms. A report of 5 Ugandan cases. Br Heart J. 1973 Oct;35(10):1085–1091. doi: 10.1136/hrt.35.10.1085. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Pressoir R., Downing J. W. Congenital diverticula of the right ventricle of the heart: a case report. J Natl Med Assoc. 1980 Mar;72(3):262–264. [PMC free article] [PubMed] [Google Scholar]
  16. RUTTENBERG H. D., JUE K. L., ELLIOTT L. P., ANDERSON R. C., EDWARDS J. E. CARDIAC MYOPATHY, PROBABLY OF CONGENITAL ORIGIN. A CASE SIMULATING ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY TRUNK. Circulation. 1964 May;29:768–776. doi: 10.1161/01.cir.29.5.768. [DOI] [PubMed] [Google Scholar]
  17. SWYER A. J., MAUSS I. H., ROSENBLATT P. Congenital diverticulosis of left ventricle. Am J Dis Child. 1950 Jan;79(1):111-4, illust. doi: 10.1001/archpedi.1950.04040010121014. [DOI] [PubMed] [Google Scholar]
  18. Treistman B., Cooley D. A., Lufschanowski R., Leachman R. D. Diverticulum or aneurysm of left ventricle. Am J Cardiol. 1973 Jul;32(1):119–123. doi: 10.1016/s0002-9149(73)80097-9. [DOI] [PubMed] [Google Scholar]
  19. Wennevold A., Andersen E. D., Efsen F., Jacobsen J. R., Lauridsen P. Congenital apical aneurysm of the left ventricle: surgical removal in two infants. Eur J Cardiol. 1978 Jul;7(5-6):411–419. [PubMed] [Google Scholar]

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