Document Detail


Diverticulum of the left ventricle: etiology and surgical treatment.
MedLine Citation:
PMID:  18430659     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Antonis A Pitsis; Aikaterini N Visouli; Timotheos G Kelpis; Vlasis N Ninios; Nikolaos Nikoloudakis; Fragiskos Parthenakis; Panos Vardas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  11     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-23     Completed Date:  2009-04-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E75-7     Citation Subset:  IM    
Affiliation:
Thessaloniki Heart Institute, St Luke's Hospital, Thessaloniki, Greece. apitsis@otenet.gr
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / 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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