Title of article :
Diverticulum, or not Diverticulum, That Is the Question! Discussing About a Case of Left Ventricular Outpouching Associated With Bicuspid Aortic Valve Assessed by Cardiac Magnetic Resonance
Author/Authors :
Capasso, Raffaella Second University of Naples - Department of Internal Clinical and Experimental Medicine, Italy , Panelo, Maria Son Espases University Hospital - Department of Cardiology, Spain , Fiorelli, Andrea Sapienza University of Rome - Department of Radiological, Oncological and Pathological Sciences, Italy , Carbone, Iacopo Sapienza University of Rome - Department of Radiological, Oncological and Pathological Sciences, Italy , Galea, Nicola Sapienza University of Rome - Department of Radiological, Oncological and Pathological Sciences, Italy
From page :
72
To page :
74
Abstract :
Congenital left ventricular outpouchings (LVOs) are infrequent myocardial malformations, comprising various overlapping abnormalities, whose characterization is often intricate in clinical practice using traditional non-invasive techniques. We describe a rare case of LVO associated with bicuspid aortic valve incidentally found in an asymptomatic adult patient. The LVO was located at basal level of the chamber, crescent-shaped with its largest diameter in short-axis view and presented a thin hypo-contractile wall without hyperintense areas on late gadolinium enhanced (LGE) images. This description corresponds to an overlap between usual definition of aneurism, fibrous and muscular diverticulum. The LVO was evaluated according with a classification recently proposed by Malakan Rad. In this case ventricular geometry was not respected, wall thickness was reduced and wall motion compromised therefore corresponding to a small IIc-type, which is considered having the poorest prognosis. Furthermore, the association with bicuspid aortic valve is very unusual. The patient refused surgery and preferred follow-up.
Keywords :
Heart Aneurysm , Diverticulum , Magnetic Resonance Imaging , Aortic Valve , Congenital Heart Disease
Journal title :
Journal of Cardiovascular and Thoracic Research (JCVTR)
Journal title :
Journal of Cardiovascular and Thoracic Research (JCVTR)
Record number :
2589558
Link To Document :
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