Congenital left ventricular diverticulum is a very rare cardiac abnormality and it is not completely understood about its etiology, clinical manifestation, diagnosis, treatment and prognosis. This article presents a c...Congenital left ventricular diverticulum is a very rare cardiac abnormality and it is not completely understood about its etiology, clinical manifestation, diagnosis, treatment and prognosis. This article presents a case of large congenital diverticulum of the left ventricle. The clinical manifestation included paroxysmal supraventricular tachycardia. The diagnosis was made by chest fluoroscopy observation and confirmed by 64-slice CT-angiography. The arrhythmia alleviated instead of antiarrhythmic drugs but by radiofrequency catheter ablation. Due to the rapid growth of the diverticulum, the patient underwent surgical resection finally. Owing to the fatal risks, clinicians should improve the understanding of this disease by deeply studving more cases, in order to standardize the treatment.展开更多
Left ventricular diverticulum is a rare congenital anomaly of which the incidence was reported to be 0.26%. Diverticula are usually localized near the apex and most often involve the inferior or anterior parietal wall...Left ventricular diverticulum is a rare congenital anomaly of which the incidence was reported to be 0.26%. Diverticula are usually localized near the apex and most often involve the inferior or anterior parietal walls of the left ventricle. In this report, we describe a rare case of congenital isolated left ventricular apical diverticulum, which was tako-tsubo-like in systole, ＂dumbbell-like＂ the whole left ventricle, diagnosed by angiography and magnetic resonance imaging.展开更多
1临床资料患者,女,70岁,主因“间歇性心悸、气短、胸闷、胸痛13年,加重1月”入院。入院时体温36.5℃,心率80次/min,呼吸20次/min,血压130/75 mm Hg;体格检查:听诊胸骨左缘第2肋间舒张期叹气样杂音。血生化检测:血白细胞10.36×109/L...1临床资料患者,女,70岁,主因“间歇性心悸、气短、胸闷、胸痛13年,加重1月”入院。入院时体温36.5℃,心率80次/min,呼吸20次/min,血压130/75 mm Hg;体格检查:听诊胸骨左缘第2肋间舒张期叹气样杂音。血生化检测:血白细胞10.36×109/L,脑钠肽585.9.8 pg/ml,肌钙蛋白I 2.02 ng/ml,肌红蛋白102.8 ng/ml,肌酸激酶同工酶17.0 ng/ml。展开更多
文摘Congenital left ventricular diverticulum is a very rare cardiac abnormality and it is not completely understood about its etiology, clinical manifestation, diagnosis, treatment and prognosis. This article presents a case of large congenital diverticulum of the left ventricle. The clinical manifestation included paroxysmal supraventricular tachycardia. The diagnosis was made by chest fluoroscopy observation and confirmed by 64-slice CT-angiography. The arrhythmia alleviated instead of antiarrhythmic drugs but by radiofrequency catheter ablation. Due to the rapid growth of the diverticulum, the patient underwent surgical resection finally. Owing to the fatal risks, clinicians should improve the understanding of this disease by deeply studving more cases, in order to standardize the treatment.
文摘Left ventricular diverticulum is a rare congenital anomaly of which the incidence was reported to be 0.26%. Diverticula are usually localized near the apex and most often involve the inferior or anterior parietal walls of the left ventricle. In this report, we describe a rare case of congenital isolated left ventricular apical diverticulum, which was tako-tsubo-like in systole, ＂dumbbell-like＂ the whole left ventricle, diagnosed by angiography and magnetic resonance imaging.
