Bennis K, Tamdy A, Charif D'ouazzane M, Assaidi A, Doghmi N, Allouch M, Noureddine M, Cherti M, Bennis A. [Isolated left ventricular congenital diverticulum in adult: Report of cardiac imaging].
Ann Cardiol Angeiol (Paris) 2014;
63:58-61. [PMID:
22436633 DOI:
10.1016/j.ancard.2011.07.012]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2010] [Accepted: 07/24/2011] [Indexed: 05/31/2023]
Abstract
Cardiac diverticulum is an infrequent congenital malformation, it's even more rare in adulthood. It's often associated with other thoraco-abdominal diverticulums, and rarely isolated. The diagnosis relies on echocardiography. By the way, the magnetic resonance imagery (MRI) allows a finer analysis of the diverticulum, its topography and its situation contributed to vascular and cardiac structures, it has largely replaced the ventriculography. We report in this article the case of a patient of 36 years whose diagnosis of the diverticulum was made by transthoracic echocardiography (TTE) at the time of an assessment of dyspnea, this exam also objectified a mitral insufficiency by deformation and dilatation of the mitral annulus. Radiological assessment was completed by a transoesophageal echocardiography (TOE) and magnetic resonance imagery (MRI). Surgical treatment consisted of surgical closing of the diverticulum and mitral annuloplasty.
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