Document Detail

Congenital left ventricular wall abnormalities in adults detected by gated cardiac multidetector computed tomography: clefts, aneurysms, diverticula and terminology problems.
MedLine Citation:
PMID:  22534466     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Our aim was to evaluate congenital left ventricular wall abnormalities (clefts, aneurysms and diverticula), describe and illustrate imaging features, discuss terminology problems and determine their prevalence detected by cardiac CT in a single center.
MATERIALS AND METHODS: Coronary CT angiography images of 2093 adult patients were evaluated retrospectively in order to determine congenital left ventricular wall abnormalities.
RESULTS: The incidence of left ventricular clefts (LVC) was 6.7% (141 patients) and statistically significant difference was not detected between the sexes regarding LVC (P=0.5). LVCs were single in 65.2% and multiple in 34.8% of patients. They were located at the basal to mid inferoseptal segment of the left ventricle in 55.4%, the basal to mid anteroseptal segment in 24.1%, basal to mid inferior segment in 17% and septal-apical septal segment in 3.5% of cases. The cleft length ranged from 5 to 22 mm (mean 10.5 mm) and they had a narrow connection with the left ventricle (mean 2.5 mm). They were contractile with the left ventricle and obliterated during systole. Congenital left ventricular septal aneurysm that was located just under the aortic valve was detected in two patients (0.1%). No case of congenital left ventricular diverticulum was detected.
CONCLUSION: Cardiac CT allows us to recognize congenital left ventricular wall abnormalities which have been previously overlooked in adults. LVC is a congenital structural variant of the myocardium, is seen more frequently than previously reported and should be differentiated from aneurysm and diverticulum for possible catastrophic complications of the latter two.
Cengiz Erol; Mustafa Koplay; Ayhan Olcay; Ali Sami Kivrak; Seda Ozbek; Mehmet Seker; Yahya Paksoy
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Publication Detail:
Type:  Journal Article     Date:  2012-04-23
Journal Detail:
Title:  European journal of radiology     Volume:  81     ISSN:  1872-7727     ISO Abbreviation:  Eur J Radiol     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-03     Completed Date:  2013-03-22     Revised Date:  2013-10-17    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  3276-81     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
Selcuk University, Selcuklu Faculty of Medicine, Department of Radiology, Alaeddin Keykubat Central Campus, Selcuklu, 42250 Konya, Turkey.
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MeSH Terms
Aged, 80 and over
Cardiac-Gated Imaging Techniques / statistics & numerical data*
Coronary Angiography / statistics & numerical data*
Heart Defects, Congenital / classification,  epidemiology*,  radiography*
Heart Ventricles / abnormalities*,  radiography*
Middle Aged
Reproducibility of Results
Sensitivity and Specificity
Terminology as Topic
Tomography, X-Ray Computed / statistics & numerical data*
Turkey / epidemiology
Comment In:
Eur J Radiol. 2013 Oct;82(10):e628   [PMID:  23891297 ]

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