Abstract
Congenital left ventricular out-pouching, consisting of left ventricular aneurysms, left ventricle diverticulae, and double-chambered left ventricle, is a rare cardiac malformation. Criteria to differentiate between left ventricular aneurysm and diverticulum are defined. Reports of left ventricular accessory chamber in the medical literature are rare. In this article, we present a case of left ventricular accessory chamber diagnosed during the late prenatal period. Review of the literature, imaging modalities used for differentiation of the nature of this lesion, and management plan are discussed.
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Chaubal N, Dighe M, Shah M, Chaubal J, Raghavan J (2004) Congenital left ventricular aneurysm. Prenatal sonographic diagnosis. J Ultrasound Med 23:125–128
Chesler E, Tucker RB, Barlow JB (1967) Subvalvular and apical left ventricular aneurysms in the Bantu as a source of systemic emboli. Circulation 35(6):1156–1162
Conway J, Friesen C, Thompson D, Warren A (2008) Fetal diagnosis of an “extra cardiac chamber”. Pediatr Cardiol 29:188–190
Hamaoka K, Sawada T (1988) Isolated congenital right ventricular diverticulum with ventricular premature complexes. Am J Cardiol 61(6):480–481
Kay PH, Rigby M, Mulholland HC (1983) Congenital double chambered left ventricle treated by exclusion of accessory chamber. Br Heart J 49(2):195–198
Krasemann T, Gehrmann J, Fenge H, Debus V, Loeser H, Vogt J (2001) Ventricular aneurysm or diverticulum? Clinical differential diagnosis. Pediatr Cardiol 22:409–411
Marijon E, Ou P, Fermont L, Concordet S, Le Bidois J, Sidi D, Bonnet D (2006) Diagnosis and outcome in congenital ventricular diverticulum and aneurysm. J Thorac Cardiovasc Surg 131(2):433–437
Matias A, Fredouille C, Nesmann C, Azancot A (1999) Prenatal diagnosis of left ventricular aneurysm: a report of three cases and a review. Cardiol Young 9(2):175–184
Okereke OU, Cooley DA, Frazier OH (1986) Congenital diverticulum of the ventricle. J Thorac Cardiovasc Surg 91(2):208–214
Papagiannis J, Van Praagh R, Schwint O, D’Orsogna L, Qureshi F, Reynolds J, Kallfelz C, Nozar J (2001) Congenital left ventricular aneurysm: clinical, imaging, pathologic and surgical findings in seven new cases. Am Heart J 141:491–499
Sharma JR, Oforl-Amanfo G, Marboe C, Quaegebeur J (2002) Congenital left ventricular aneurysm with pericardial effusion: prenatal diagnosis, surgical management and follow-up. Pediatr Cardiol 23:458–461
Sherman SJ, Leenhouts KH, Utter GO, Litaker M, Lawson P (1996) Prenatal diagnosis of left ventricular aeurysm in the late second trimester: a case report. Ultrasound Obstet Gynecol 7:456–457
Singh A, Katkov H, Zavoral JH, Sane SM, McLeod JD (1980) Congenital aneurysms of the left ventricle. Am Heart J 99(1):25–32
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Movie Clip 1
Transthoracic echocardiography in the first few days of life. The apical four-chamber view shows the left ventricle (LV) and the LV accessory chamber (LVAC). This movie clip is equivalent to Fig. 1 (AVI 4996 kb)
Movie Clip 2
Transthoracic echocardiography, apical four-chamber view at 6 months of age showing dilated LV with bowing ventricular septum to the right. This movie clip is equivalent to Fig. 2 (AVI 5185 kb)
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Awad, S.M., Patel, A.S., Polimenakos, A. et al. Left Ventricular Accessory Chamber: A Case Report and Review of the Literature. Pediatr Cardiol 30, 1022–1025 (2009). https://doi.org/10.1007/s00246-009-9482-6
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DOI: https://doi.org/10.1007/s00246-009-9482-6