Ashley Davidoff MD 27129b
Description: This series of CT scans through the bottom of the left ventricle show an apical outpouching in this patient who has not had previous evidence of CAD. This finding is characteristic of a left ventricular diverticulum. . 38332c code CVS heart cardiac LV apex diverticulum congenital cardiac imaging radiology CTscan congenital
Keywords: CVS heart cardiac LV apex diverticulum congenital cardiac imaging radiology CTscan congenital Ashley Davidoff MD 38332c
Clinical
- Asymptomatic,
- incidental finding
- Pathology: •
- Pouch or sac branching out from ventricle. •
- Developmental anomaly
- Usually found in pediatric patients
- part of a constellation of congenital defects
- isolated around 30%).
- size, ranging from 5 to 80 mm.
- position
- apex and perivalvular area
- not interventricular
- Subtypes:
- muscular: originates at the apex and comprises mainly muscular fibers that contract synchronously with the ventricle•
- fibrous diverticulum: composed of mostly fibrous tissue
- CT: tubular outpouching arising from the ventricle•
- MRI: synchronous contractility
- Potential Complications•
- Cardiac arrhythmias,
- endocarditis,
- systemic emboli,
- heart failure,
- cardiac rupture,