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J Thorac Cardiovasc Surg 2004;128:313-314
© 2004 The American Association for Thoracic Surgery

Brief communication

Repair of an isolated huge congenital left ventricular diverticulum

Yoav Paz, MDa, Eduard Fridman, MDb, Fayez M. Shakalia, MDc, Joseph Danieli, MDc, David Mishaly, MDa,*

a Department of Pediatric Cardiac Surgery, Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
b Department of Pathology, Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
c Department of Pediatric Cardiology, Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel

Received for publication December 1, 2003; accepted for publication December 15, 2003.

* Address for reprints: David Mishaly MD, Department of Congenital and Pediatric Cardiac Surgery, Haim Sheba Medical Center, Tel Hashomer 52621, Israel
dmishaly@sheba.health.gov.il

The first 20% of the full text of this article appears below.

Congenital left ventricular diverticulum is a very rare condition usually associated with other congenital anomalies, including those of the sternum, diaphragm, pericardium, and abdominal wall (Cantrell syndrome). We describe a 3-year-old boy with a huge, isolated, congenital left ventricular diverticulum and no other congenital anomaly, the third reported case of its kind and the first of such large dimensions.

Clinical summary

A 3-year-old boy was referred to us with the diagnosis of "double-chamber left ventricle." He had no previous history of chest trauma, tuberculosis, cardiovascular disease, Chagas disease, or Kawasaki disease, but recurrent left-lung pneumonia events had appeared several months before we examined him, and he had experienced severe respiratory failure prior to his referral. At that time, chest radiography revealed an abnormal cardiac silhouette. Two-dimensional echocardiography demonstrated a huge diverticulum located at the posterolateral wall, penetrating just below the mitral valve annulus. Left ventricular contractility was normal, but a Doppler flow study . . . [Full Text of this Article]






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