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Left Ventricular Accessory Chamber: A Case Report and Review of the Literature

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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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References

  1. Chaubal N, Dighe M, Shah M, Chaubal J, Raghavan J (2004) Congenital left ventricular aneurysm. Prenatal sonographic diagnosis. J Ultrasound Med 23:125–128

    PubMed  Google Scholar 

  2. 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

    PubMed  CAS  Google Scholar 

  3. Conway J, Friesen C, Thompson D, Warren A (2008) Fetal diagnosis of an “extra cardiac chamber”. Pediatr Cardiol 29:188–190

    Article  PubMed  Google Scholar 

  4. Hamaoka K, Sawada T (1988) Isolated congenital right ventricular diverticulum with ventricular premature complexes. Am J Cardiol 61(6):480–481

    Article  PubMed  CAS  Google Scholar 

  5. 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

    Article  PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. 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

    Article  PubMed  Google Scholar 

  8. 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

    Article  PubMed  CAS  Google Scholar 

  9. Okereke OU, Cooley DA, Frazier OH (1986) Congenital diverticulum of the ventricle. J Thorac Cardiovasc Surg 91(2):208–214

    PubMed  CAS  Google Scholar 

  10. 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

    Article  PubMed  CAS  Google Scholar 

  11. 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

    Article  PubMed  CAS  Google Scholar 

  12. 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

    Article  PubMed  CAS  Google Scholar 

  13. Singh A, Katkov H, Zavoral JH, Sane SM, McLeod JD (1980) Congenital aneurysms of the left ventricle. Am Heart J 99(1):25–32

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Sawsan M. Awad.

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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

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