| Diverticulum of the left ventricle: etiology and surgical treatment. | |
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MedLine Citation:
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PMID: 18430659 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Congenital left ventricular (LV) diverticula are rare findings, particularly when first diagnosed in adulthood. We describe successful surgical repair of an isolated congenital apical LV diverticulum associated with an abnormal submitral apparatus in a young adult who received his diagnosis following a peripheral embolism. We intraoperatively identified an abnormally originating belly of the posteromedial papillary muscle, which arose from the interventricular septum, causing partition of the LV cavity and forming an apical aneurysmal communicating chamber. This anatomy of abnormal papillary muscle bifurcation was possibly the mechanism for the development of the apical diverticulum and to the best of our knowledge has not previously been described. Reattachment of the abnormal belly to its normal position preserved mitral valve competence, and an endoventricular patch repair restored LV volume and geometry. |
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Authors:
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Antonis A Pitsis; Aikaterini N Visouli; Timotheos G Kelpis; Vlasis N Ninios; Nikolaos Nikoloudakis; Fragiskos Parthenakis; Panos Vardas |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The heart surgery forum Volume: 11 ISSN: 1522-6662 ISO Abbreviation: Heart Surg Forum Publication Date: 2008 |
Date Detail:
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Created Date: 2008-04-23 Completed Date: 2009-04-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100891112 Medline TA: Heart Surg Forum Country: United States |
Other Details:
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Languages: eng Pagination: E75-7 Citation Subset: IM |
Affiliation:
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Thessaloniki Heart Institute, St Luke's Hospital, Thessaloniki, Greece. apitsis@otenet.gr |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple
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surgery Adult Cardiovascular Surgical Procedures / instrumentation, methods* Diverticulum / congenital*, surgery* Heart Aneurysm / congenital*, surgery* Heart Ventricles / abnormalities*, surgery* Humans Male Papillary Muscles / abnormalities, surgery Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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